Brite Dental Marquette Pulaski, P.c

NPI #1114271681 in Chicago, Illinois

Provider Information

NPI Number: 1114271681
Entity Type: Organization
Organization Name: Brite Dental Marquette Pulaski, P.c
Primary Specialty: Dentist
Enumeration Date: Nov 5, 2012
Last Updated: Nov 5, 2012

Practice Location

Address: 6636 S PULASKI RD
City: Chicago
State: Illinois
ZIP Code: 60629-5138
Phone: (773) 884-0108

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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