Brite Dental 26 Drake, P.c.

NPI #1013261676 in Chicago, Illinois

Provider Information

NPI Number: 1013261676
Entity Type: Organization
Organization Name: Brite Dental 26 Drake, P.c.
Primary Specialty: Dentist
Enumeration Date: Nov 5, 2012
Last Updated: Nov 5, 2012

Practice Location

Address: 3535 W 26TH ST
City: Chicago
State: Illinois
ZIP Code: 60623-3913
Phone: (773) 801-1520

Authorized Official

Name: DR. FADI M AQEL, DDS
Title: PRESIDENT
Phone: (708) 439-4655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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