Organization
BRIGHT SMILES DENTAL CARE , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANA M ABUROB D.M.D (OWNER DENTIST)
(270) 737-6453
Entity
Organization
Contact information
Practice address
2900 RING RD, ELIZABETHTOWN, KY 42701-7934
(270) 737-6453
(270) 737-0801
Mailing address
2900 RING RD, ELIZABETHTOWN, KY 42701
(270) 737-6453
(270) 737-0801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8387
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100051530
—
KY
Enumeration date
01/24/2012
Last updated
06/10/2014
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