| NPI | 1710595509 |
|---|---|
| Doing Business As | BRIGHT SMILES PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | STACEY VEAL Practice Manager 904-584-9004 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |