| Brilliant Dental Llc | |
|
1400 W 75th St B1 Downers Grove IL 60516 | |
| (630) 701-0702 | |
| Not Available |
| Full Name | Brilliant Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1400 W 75th St, Downers Grove, Illinois |
| Authorized Official Name and Position | Vincent Lin (PRESIDENT) |
| Authorized Official Contact | 6307010702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Dental Llc 1400 W 75th St B1 Downers Grove IL 60516 Ph: (630) 701-0702 | Brilliant Dental Llc 1400 W 75th St B1 Downers Grove IL 60516 Ph: (630) 701-0702 |
| NPI Number | 1487971545 |
|---|---|
| Provider Enumeration Date | 04/29/2010 |
| Last Update Date | 04/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487971545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026119 (Illinois) | Primary |
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