| Brite Dental 26 Drake, P.c. | |
|
3535 W 26th St Chicago IL 60623-3913 | |
| (773) 801-1520 | |
| (773) 801-1546 |
| Full Name | Brite Dental 26 Drake, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 3535 W 26th St, Chicago, Illinois |
| Authorized Official Name and Position | Fadi M Aqel (PRESIDENT) |
| Authorized Official Contact | 7084394655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brite Dental 26 Drake, P.c. 3535 W 26th St Chicago IL 60623-3913 Ph: (773) 801-1520 | Brite Dental 26 Drake, P.c. 3535 W 26th St Chicago IL 60623-3913 Ph: (773) 801-1520 |
| NPI Number | 1013261676 |
|---|---|
| Provider Enumeration Date | 11/05/2012 |
| Last Update Date | 11/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013261676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026128 (Illinois) | Primary |
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