Brite Dental Berwyn, P.c.

NPI #1720332620 in Berwyn, Illinois

Provider Information

NPI Number: 1720332620
Entity Type: Organization
Organization Name: Brite Dental Berwyn, P.c.
Primary Specialty: Dentist
Enumeration Date: Oct 31, 2012
Last Updated: Oct 31, 2012

Practice Location

Address: 6301 CERMAK RD
City: Berwyn
State: Illinois
ZIP Code: 60402-2367
Phone: (708) 956-7516

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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