Bright Dental Care
Dentist, General Practice in Lombard, IL. Organization (NPI-2).
NPI number1801068457
StatusActive
Last updated in NPPESMar 24, 2008
Details
- NPI
- 1801068457
- Entity type
- Organization (NPI-2)
- Legal business name
- Bright Dental Care
- Organization subpart
- No
- Enumeration date
- Mar 24, 2008
- Last updated
- Mar 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019025135 | IL | Yes |
Other names
- Smile Dental Care (Doing Business As)
Practice location
837 Westmore Meyers RdSuite B
Lombard, IL 60148-3724
Phone 630-620-4364 · Fax 630-620-1779
Mailing address
837 Westmore Meyers RdSuite B
Lombard, IL 60148-3724
Phone 630-620-4364 · Fax 630-620-1779
Authorized official
Khalil Takla
Owner
6306204364
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