Organization
BRIGHT SMILE FAMILY DENTISTRY PLLC
Active
Other names
Bright Smile Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ELI T. JARJOURA D.D.S. (OWNER)
(405) 229-1234
Entity
Organization
Contact information
Practice address
3225 TEAKWOOD LANE, EDMOND, OK 73013
(405) 844-8887
(405) 844-9625
Mailing address
P.O. BOX 8110, EDMOND, OK 73083
(405) 844-8887
(405) 844-9625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
OK
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200054280A
—
OK
05
—
200054290A
—
OK
Enumeration date
12/13/2007
Last updated
07/24/2013
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