| Bright Smiles Dentistry Llc | |
|
13500 W Capitol Dr Ste 103 Brookfield WI 53005-2444 | |
| (262) 563-9100 | |
| (262) 563-9101 |
| Full Name | Bright Smiles Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13500 W Capitol Dr Ste 103, Brookfield, Wisconsin |
| Authorized Official Name and Position | Prasanna Kumari V Muddana (CO OWNER/OPERATIONS MANAGER) |
| Authorized Official Contact | 2625639100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Smiles Dentistry Llc 13500 W Capitol Dr Ste 202 Brookfield WI 53005-2444 Ph: () - | Bright Smiles Dentistry Llc 13500 W Capitol Dr Ste 103 Brookfield WI 53005-2444 Ph: (262) 563-9100 |
| NPI Number | 1336804178 |
|---|---|
| Provider Enumeration Date | 11/06/2021 |
| Last Update Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336804178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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