Brite Dental Fullerton, P.c.

NPI #1154675726 in Chicago, Illinois

Provider Information

NPI Number: 1154675726
Entity Type: Organization
Organization Name: Brite Dental Fullerton, P.c.
Primary Specialty: Dentist
Enumeration Date: Nov 5, 2012
Last Updated: Nov 5, 2012

Practice Location

Address: 4953 W FULLERTON AVE
City: Chicago
State: Illinois
ZIP Code: 60639-2505
Phone: (773) 887-3244

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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