| NPI | 1275230518 |
|---|---|
| Doing Business As | BRIGHT STAR DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAKE WILLIAMS Member 385-335-0928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-07 |