NPI 1497077903

Brightsmile Family Dental, LLC

Organisation Preferred Provider Organization Salem, OR

Practice location

Address: 3460 Liberty Rd S, Salem, OR 97302-4607
Phone: (503) 561-2000
Fax: (503) 561-2200

Authorised official

Name: Biao Li
Title: Owner Dentist
Phone: (503) 561-2000

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence D8587 (OR)

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Registry record

NPI: 1497077903
Entity type: Organization
NPI issued: 24 Feb 2010
Record last updated: 24 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.