| Bright Dental 1 Llc | |
|
1300 W Lincoln Ave Milwaukee WI 53215-3127 | |
| (414) 378-7971 | |
| Not Available |
| Full Name | Bright Dental 1 Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1300 W Lincoln Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Sham Chandok (DENTIST) |
| Authorized Official Contact | 4143787971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Dental 1 Llc 1300 W Lincoln Ave Milwaukee WI 53215-3127 Ph: () - | Bright Dental 1 Llc 1300 W Lincoln Ave Milwaukee WI 53215-3127 Ph: (414) 378-7971 |
| NPI Number | 1649723412 |
|---|---|
| Provider Enumeration Date | 07/28/2016 |
| Last Update Date | 07/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649723412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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