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Individual

CHARLES JONATHAN BRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1178 SHEPHERDSTOWN RD, MARTINSBURG, WV 25404
(304) 267-7815
Mailing address
PO BOX 2016, MARTINSBURG, WV 25402
(304) 267-7815

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2203
WV
1223G0001X
General Practice Dentistry
5888
MD

Other

Enumeration date
12/14/2006
Last updated
07/08/2007
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