Organization
BRIGHTER SMILES FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYNA YVONNE DIEROLF (ONWER)
(484) 599-2590
Entity
Organization
Contact information
Practice address
41 KLEIN AVE, LEBANON, PA 17042-7178
(717) 274-5613
(717) 274-9427
Mailing address
41 KLEIN AVE, LEBANON, PA 17042-7178
(717) 274-5613
(717) 274-9427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
PA
Other
Enumeration date
10/06/2006
Last updated
08/01/2016
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