Organization
STAR BRIGHT ONSITE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LESLIE THOMAS DMD (DENTIST)
(864) 221-5368
Entity
Organization
Contact information
Practice address
6709 WHITE HORSE RD, GREENVILLE, SC 29611-2503
(864) 246-0260
(864) 484-9449
Mailing address
201 DURSELY DR, ANDERSON, SC 29621-3670
(864) 221-5368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z30869
—
SC
Enumeration date
10/11/2019
Last updated
10/11/2019
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