Organization
BRIGHT SMILE DENTAL CARE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN MARTINS DDS (OWNER/DENTIST)
(516) 825-0178
Entity
Organization
Contact information
Practice address
65 WHEELER AVE, VALLEY STREAM, NY 11580-3425
(516) 825-0178
Mailing address
65 WHEELER AVE, VALLEY STREAM, NY 11580-3425
(516) 825-0178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049638
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02365406
—
NY
Enumeration date
03/31/2008
Last updated
03/31/2008
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