Organization
BRIGHT STAR ORTHODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WALKER DDS (CEO)
(786) 877-7666
Entity
Organization
Contact information
Practice address
265 W ATLANTIC BLVD, OCEAN CITY, NJ 08226-4605
(786) 877-7666
Mailing address
265 W ATLANTIC BLVD, OCEAN CITY, NJ 08226-4605
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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