Bright Smile Family Dental
NPI #1710255831 in Blue Island, Illinois
Provider Information
- NPI Number
- 1710255831
- Entity Type
- Organization
- Organization Name
- Bright Smile Family Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 3, 2011
- Last Updated
- Dec 3, 2011
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
- PRESIDENT
- Phone
- (917) 547-4470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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