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Organization

BRIGHT SMILE DENTAL CARE, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANA M ABUROB D.M.D (OWNER DENTIST)
(270) 734-1967
Entity
Organization

Contact information

Practice address
60 STONECREST CT, SUITE 200, SHELBYVILLE, KY 40065-8157
(502) 633-1819
(502) 633-1817
Mailing address
60 STONECREST CT, SUITE 200, SHELBYVILLE, KY 40065-8155
(502) 633-1819
(502) 633-1817

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8112
KY
122300000X
Dentist
8387
KY
122300000X
Dentist
9059
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100051530
KY
Enumeration date
11/19/2011
Last updated
01/18/2012
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