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Organization
BRIGHT SMILE DENTAL CLINIC LLC
Active
Organization
BRIGHT SMILE DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD S JAFRI (OWNER)
(718) 717-5995
Entity
Organization
Contact information
Practice address
229 N MONROE AVE, COVINGTON, VA 24426-1409
(540) 967-8178
Mailing address
229 N MONROE AVE, COVINGTON, VA 24426-1409
(540) 967-8178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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