Bright Smiles Dentistry LLC
NPI #1336804178 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1336804178
- Entity Type
- Organization
- Organization Name
- Bright Smiles Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 6, 2021
- Last Updated
- Nov 9, 2021
Practice Location
- Address
- 13500 W CAPITOL DR STE 103
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-2444
- Phone
- (262) 563-9100
Authorized Official
- Name
- PRASANNA KUMARI V MUDDANA
- Title
- CO OWNER/OPERATIONS MANAGER
- Phone
- (262) 563-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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