Organization
BRIGHT SMILE DENTAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA VITKIN (PRESIDENT)
(773) 807-9083
Entity
Organization
Contact information
Practice address
5430 N MILWAUKEE AVE, CHICAGO, IL 60630-1225
(773) 807-9083
Mailing address
5430 N MILWAUKEE AVE, CHICAGO, IL 60630-1225
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019022079
IL
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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