| Bright Smile Dental | |
|
430 Barron Blvd Grayslake IL 60030-1666 | |
| (847) 543-4200 | |
| Not Available |
| Full Name | Bright Smile Dental |
|---|---|
| Speciality | Dentist |
| Location | 430 Barron Blvd, Grayslake, Illinois |
| Authorized Official Name and Position | Jonathan Flaksman (DENTIST) |
| Authorized Official Contact | 8479621057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Smile Dental 430 Barron Blvd Grayslake IL 60030-1666 Ph: (847) 543-4200 | Bright Smile Dental 430 Barron Blvd Grayslake IL 60030-1666 Ph: (847) 543-4200 |
| NPI Number | 1316399876 |
|---|---|
| Provider Enumeration Date | 07/08/2016 |
| Last Update Date | 10/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316399876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019030839 (Illinois) | Primary |
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