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Organization

FOREVER BRIGHT DENTAL LLC

Active
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Organization

FOREVER BRIGHT DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN ESTRADA (OWNER)
(850) 418-7413
Entity
Organization

Contact information

Practice address
6565 N W ST STE 250, PENSACOLA, FL 32505-1720
(850) 418-7413
Mailing address
6565 N W ST STE 250, PENSACOLA, FL 32505-1720

Taxonomy

Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
—
NULL
126900000X
Dental Laboratory Technician
Primary
—
—

Other

Enumeration date
11/18/2022
Last updated
11/18/2022
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