Organization
BRIGHT SMILE PEDIATRIC DENTIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR ALDO LUNA (PEDIATRIC DENTIST)
(703) 462-8412
Entity
Organization
Contact information
Practice address
3001 ROBIN RIDGE CT, FAIRFAX, VA 22031-2133
(703) 462-8412
Mailing address
410 PINE ST SE, VIENNA, VA 22180-4861
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
0401410972
VA
Other
Enumeration date
05/09/2009
Last updated
05/09/2009
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