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Organization
SIRIN THANASASAVAT DMD PA
Active
Organization
SIRIN THANASASAVAT DMD PA
Active
Other names
Bright Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SIRIN THANASASAVAT D.M.D (PRESIDENT)
(407) 929-7095
Entity
Organization
Contact information
Practice address
8010 SUNPORT DR STE 115, ORLANDO, FL 32809-7897
(407) 412-7887
(407) 641-8932
Mailing address
8010 SUNPORT DR STE 115, ORLANDO, FL 32809-7897
(407) 412-7887
(407) 641-8932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17989
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076828600
—
FL
Enumeration date
08/01/2012
Last updated
08/01/2012
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