Organization
BASHAR AL KHOURI,PA
Active
Other names
Bright Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
BASHAR AL-KHOURI D.D.S (PRESIDENT/DENTIST)
(813) 681-8151
Entity
Organization
Contact information
Practice address
121 W WINDHORST RD, BRANDON, FL 33510-2434
(813) 681-8151
(813) 643-7977
Mailing address
121 W WINDHORST RD, BRANDON, FL 33510-2434
(813) 681-8151
(813) 643-7977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 13257
FL
Other
Enumeration date
09/19/2012
Last updated
09/23/2012
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