Bright Smile Family Dental LLC
Dentist, General Practice in Marietta, GA. Organization (NPI-2).
NPI number1245082437
StatusActive
Last updated in NPPESApr 2, 2024
Details
- NPI
- 1245082437
- Entity type
- Organization (NPI-2)
- Legal business name
- Bright Smile Family Dental LLC
- Organization subpart
- No
- Enumeration date
- Apr 2, 2024
- Certification date
- Apr 2, 2024
- Last updated
- Apr 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1466 Roswell RdMarietta, GA 30062-3670
Phone 678-402-7760 · Fax 678-490-2422
Mailing address
1466 Roswell RdMarietta, GA 30062-3670
Phone 678-402-7760
Authorized official
Shaheen Sadaf
Dentist
3052816128
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