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Organization
SIRIN THANASASAVAT, DMD PA
Active
Organization
SIRIN THANASASAVAT, DMD PA
Active
Other names
Bright Smile Dental at Oviedo, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
THIDA THANA (MANAGER)
(407) 542-8383
Entity
Organization
Contact information
Practice address
8010 SUNPORT DR STE 115, ORLANDO, FL 32809-7897
(407) 412-7887
(407) 930-2758
Mailing address
8010 SUNPORT DR STE 115, ORLANDO, FL 32809-7897
(407) 412-7887
(407) 930-2758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
FL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076828600
—
FL
05
—
116520600
—
FL
Enumeration date
06/29/2018
Last updated
04/19/2024
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