Organization
FOREVER BRIGHT DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ESTRADA (OWNER)
(850) 418-7413
Entity
Organization
Contact information
Practice address
6565 N W ST STE 250, PENSACOLA, FL 32505-1720
(850) 418-7413
Mailing address
6565 N W ST STE 250, PENSACOLA, FL 32505-1720
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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