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Organization

LD-COLUMBUS, LLC

Active
Other names
Bright Smiles Dental
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN S DAIGNEAULT BA, MA (ADMIN DIRECTOR)
(256) 783-9468
Entity
Organization

Contact information

Practice address
611 LEIGH DR, COLUMBUS, MS 39705-3036
(662) 328-1825
(662) 657-1012
Mailing address
611 LEIGH DR, COLUMBUS, MS 39705-3036
(662) 328-1825
(662) 657-1012

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
04/24/2018
Last updated
07/07/2023
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