| Brighter Dental Of Park Ridge Llc | |
|
1416 Canfield Rd Park Ridge IL 60068-5553 | |
| (847) 698-0888 | |
| Not Available |
| Full Name | Brighter Dental Of Park Ridge Llc |
|---|---|
| Speciality | Dentist |
| Location | 1416 Canfield Rd, Park Ridge, Illinois |
| Authorized Official Name and Position | Roger Nouneh (MANAGING MEMBER) |
| Authorized Official Contact | 3129278882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighter Dental Of Park Ridge Llc 1416 Canfield Rd Park Ridge IL 60068-5553 Ph: (847) 698-0888 | Brighter Dental Of Park Ridge Llc 1416 Canfield Rd Park Ridge IL 60068-5553 Ph: (847) 698-0888 |
| NPI Number | 1407631179 |
|---|---|
| Provider Enumeration Date | 08/30/2023 |
| Last Update Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407631179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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