Brite Dental 55, P.c

NPI #1205180775 in Chicago, Illinois

Provider Information

NPI Number: 1205180775
Entity Type: Organization
Organization Name: Brite Dental 55, P.c
Primary Specialty: Dentist
Enumeration Date: Nov 5, 2012
Last Updated: Nov 5, 2012

Practice Location

Address: 2759 W 55TH ST
City: Chicago
State: Illinois
ZIP Code: 60632-2251
Phone: (773) 776-5277

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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