Brighter Dental of Old Town

NPI #1164829032 in Chicago, Illinois

Provider Information

NPI Number
1164829032
Entity Type
Organization
Organization Name
Brighter Dental of Old Town
Primary Specialty
Dentist
Enumeration Date
Nov 20, 2014
Last Updated
Nov 20, 2014

Practice Location

Address
1254 N WELLS ST
ZIP Code
60610-1981
Phone
(312) 337-3300

Authorized Official

Name
DR. ROGER NOUNEH
Title
MANAGING MEMBER
Phone
(312) 337-3300

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - PeriodonticsPeriodontics

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