| Smilebrite Llc | |
|
401 Wall St Suite D Valparaiso IN 46383-2521 | |
| (219) 286-6228 | |
| (219) 286-6229 |
| Full Name | Smilebrite Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 401 Wall St, Valparaiso, Indiana |
| Authorized Official Name and Position | Bernadette Anne Delumpa Folke (SOLE OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 2193950403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilebrite Llc 401 Wall St Suite D Valparaiso IN 46383-2521 Ph: (219) 286-6228 | Smilebrite Llc 401 Wall St Suite D Valparaiso IN 46383-2521 Ph: (219) 286-6228 |
| NPI Number | 1972054286 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972054286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12009505 (Indiana) | Primary |
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