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Organization
BRIGHT DENTAL LLC
Active
Organization
BRIGHT DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN DANIELS DDS (OWNER)
(812) 656-8888
Entity
Organization
Contact information
Practice address
24173 STATE LINE RD., SUITE 100, LAWRENCEBURG, IN 47025-9999
(812) 656-8888
(812) 656-8016
Mailing address
24173 STATE LINE RD., SUITE 100, LAWRENCEBURG, IN 47025-9999
(812) 656-8888
(812) 656-8016
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12011357A
IN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/18/2010
Last updated
08/19/2020
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