Organization
BRIGHT SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSALYN SMITH DDS (CCO/LEAD DENTIST)
(618) 580-5988
Entity
Organization
Contact information
Practice address
702 BARON DR, SWANSEA, IL 62226-1013
(618) 277-5988
(618) 277-3088
Mailing address
702 BARON DR, SWANSEA, IL 62226-1013
(618) 277-5988
(618) 277-3088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021899
IL
122300000X
Dentist
019022712
IL
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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