Organization
BRITE DENTAL FULLERTON, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI M AQEL DDS (PRESIDENT)
(708) 439-4655
Entity
Organization
Contact information
Practice address
4953 W FULLERTON AVE, CHICAGO, IL 60639-2505
(773) 887-3244
(773) 887-3246
Mailing address
4953 W FULLERTON AVE, CHICAGO, IL 60639-2505
(773) 887-3244
(773) 887-3246
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026128
IL
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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