NPI | 1740603331 |
---|---|
Doing Business As | BRIGHTER SMILE |
Entity Type | Organization |
Authorized Contact | MICHELLE BECKERLY Dentist 617-365-6261 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028755) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2014-02-03 |
Last Update Date | 2025-10-07 |