Brite Dental 26 Drake, P.c.

NPI 1013261676 - Dentist - 122300000X

NPI Details
NPI 1013261676
Enumeration Date 11/05/2012
Last Updated 11/05/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name FADI M FADI
Position PRESIDENT
Phone (773) 801-1520
Fax (773) 801-1546
Practice Location
3535 W 26TH ST
CHICAGO IL, 60623-3913, US
Phone (773) 801-1520
Fax (773) 801-1546
Business Location
3535 W 26TH ST
CHICAGO IL, 60623-3913, US
Phone (773) 801-1520
Fax (773) 801-1546
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019026128
Remove 1013261676 NPI Number
 

According to our database, Brite Dental 26 Drake, P.c. NPI is 1013261676, taxonomy code is 122300000X and license number is 019026128, license state is located at Illinois. Brite Dental 26 Drake, P.c. physically located at 3535 W 26th St, Chicago IL, 60623-3913. NPI Number 1033115704 has the healthcare provider type.

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1013261676 NPI number is provided on an as is basis without warranty of any kind. 1013261676 is maintained by the National Plan & Provider Enumeration System. The contents of Brite Dental 26 Drake, P.c. are for informational purposes only.