Organization · NPI-2

Brighter Smiles Family Dental

Dentist, General Practice · Lebanon, PA

NPI number1831286525
StatusActive
Last updated in NPPESAug 1, 2016

Details

NPI
1831286525
Entity type
Organization (NPI-2)
Legal business name
Brighter Smiles Family Dental
Organization subpart
No
Enumeration date
Oct 6, 2006
Last updated
Aug 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice–PAYes

Practice location

41 Klein Ave
Lebanon, PA 17042-7178

Phone 717-274-5613 · Fax 717-274-9427

Mailing address

41 Klein Ave
Lebanon, PA 17042-7178

Phone 717-274-5613 · Fax 717-274-9427

Authorized official

Tyna Yvonne Dierolf
Onwer
4845992590

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