| Bright Smile Dental Care Pc | |
|
11622 Bustleton Ave Philadelphia PA 19116-2514 | |
| (215) 464-6061 | |
| (215) 464-6138 |
| Full Name | Bright Smile Dental Care Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11622 Bustleton Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Jay Boghara (MANAGER) |
| Authorized Official Contact | 2154646061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Smile Dental Care Pc 11622 Bustleton Ave Philadelphia PA 19116-2514 Ph: (215) 464-6061 | Bright Smile Dental Care Pc 11622 Bustleton Ave Philadelphia PA 19116-2514 Ph: (215) 464-6061 |
| NPI Number | 1659762623 |
|---|---|
| Provider Enumeration Date | 02/12/2015 |
| Last Update Date | 02/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659762623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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