Organization
BRILLIANT SMILES ODEH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL ANDERSON (COO)
(937) 376-9975
Entity
Organization
Contact information
Practice address
1289 N MONROE DR, XENIA, OH 45385-1655
(937) 376-8252
Mailing address
1289 N MONROE DR, XENIA, OH 45385-1655
(937) 376-8252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/20/2022
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