| NPI | 1568113082 |
|---|---|
| Former Legal Business Name | BRIGHT STARR PEDIATRIC DENTISTRY, LLC |
| Entity Type | Organization |
| Authorized Contact | EBONEE MONIQUE THROWER Owner 240-764-5753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-01-17 |