| NPI | 1780993840 |
|---|---|
| Doing Business As | BRIGHTEN YOUR SMILE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | THEODIS ELZIE President 770-801-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN010679) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |