Organization
BRIGHT SMILES PEDIATRIC DENTISTRY, PLLC
Active
Other names
Bright Smiles Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN MATTHEW BRIGHT DMD (OWNER/MANAGER)
(859) 433-6146
Entity
Organization
Contact information
Practice address
196 EVEREST LN UNIT 1, SAINT JOHNS, FL 32259
(904) 239-1714
Mailing address
196 EVEREST LN UNIT 1, SAINT JOHNS, FL 32259
(904) 239-1714
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN21734
FL
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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