NPI | 1841473709 |
---|---|
Former Legal Business Name | BRIGHT SMILE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ELI T. JARJOURA Owner 405-229-1234 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-12-13 |
Last Update Date | 2013-07-24 |