# BRIGHT SMILE DENTAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205264330
- **Authorized official:** DR. AHMAD S JAFRI (OWNER)
- **Authorized official phone:** (718) 717-5995

## Contact information

- **Practice address:** 229 N MONROE AVE, COVINGTON, VA 24426-1409
- **Practice address phone:** (540) 967-8178
- **Mailing address:** 229 N MONROE AVE, COVINGTON, VA 24426-1409
- **Mailing address phone:** (540) 967-8178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2013
- **Last updated:** 10/29/2013