Bright Smile Family Dental

NPI #1376083006 in Blue Island, Illinois

Provider Information

NPI Number: 1376083006
Entity Type: Organization
Organization Name: Bright Smile Family Dental
Primary Specialty: Dentist
Enumeration Date: Feb 28, 2017
Last Updated: Feb 28, 2017

Practice Location

Address: 12601 WESTERN AVE
Address 2: UNIT B
City: Blue Island
State: Illinois
ZIP Code: 60406-1749
Phone: (708) 293-1903

Authorized Official

Name: GEHAN ADAM
Title: DDS
Phone: (708) 293-1903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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