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Organization
CHICAGO BRIGHT SMILES
Active
Organization
CHICAGO BRIGHT SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOUDABEH RAFIEIAN DDS (DENTIST)
(312) 944-0658
Entity
Organization
Contact information
Practice address
711 W NORTH AVE, SUITE 216, CHICAGO, IL 60610-1174
(312) 944-0658
(312) 944-0531
Mailing address
711 W NORTH AVE, SUITE 216, CHICAGO, IL 60610-1174
(312) 944-0658
(312) 944-0531
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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