Organization
SMILE BRIGHT DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO DONAVANIK FORES DDS (CEO)
(661) 917-0507
Entity
Organization
Contact information
Practice address
414 TENNESSEE ST STE K1, REDLANDS, CA 92373-8152
(909) 798-4000
Mailing address
3218 E HOLT AVE STE 202, WEST COVINA, CA 91791-2310
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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