Organization
BRIGHT SMILE DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY BOGHARA (MANAGER)
(215) 464-6061
Entity
Organization
Contact information
Practice address
11622 BUSTLETON AVE, PHILADELPHIA, PA 19116-2514
(215) 464-6061
(215) 464-6138
Mailing address
11622 BUSTLETON AVE, PHILADELPHIA, PA 19116-2514
(215) 464-6061
(215) 464-6138
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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