Organization
BARTLETT FAMILY AND COSMETIC DENTISTRY, PLLC
Active
Other names
Bright Smiles Family and Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTA REYES (CREDENTIALING LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
208 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5068
(850) 243-8124
Mailing address
208 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5068
(850) 243-8124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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