Organization
BRIGHT SMILES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANKARI KUMARACHANDRAN D.D.S. (PRESIDENT)
(410) 737-9666
Entity
Organization
Contact information
Practice address
4115 WILKENS AVE STE 101, BALTIMORE, MD 21229-4750
(410) 737-9666
(410) 737-9667
Mailing address
4115 WILKENS AVE STE 101, BALTIMORE, MD 21229-4750
(410) 737-9666
(410) 737-9667
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11814
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404887300
—
MD
Enumeration date
01/29/2008
Last updated
11/13/2014
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