Organization
BRIGHTER SMILES FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SUN LEE D.D.S (PRESIDENT)
(845) 621-2424
Entity
Organization
Contact information
Practice address
947 S LAKE BLVD, SUITE A, MAHOPAC, NY 10541-3254
(845) 621-2424
(845) 621-1360
Mailing address
947 S LAKE BLVD, SUITE A, MAHOPAC, NY 10541-3254
(845) 621-2424
(845) 621-1360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049023
NY
1223P0221X
Pediatric Dentistry
039667-1
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
053114-1
NY
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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