Organization
BRIGHT SMILES DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEL VANESSA MYRIE D.M.D (OWNER)
(256) 721-5961
Entity
Organization
Contact information
Practice address
8371 HIGHWAY 72 W STE 208, MADISON, AL 35758-9505
(256) 721-5961
(256) 721-7950
Mailing address
8371 HIGHWAY 72 W STE 208, MADISON, AL 35758-9505
(256) 721-5961
(256) 721-7950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AL5018
AL
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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