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Organization

BRITE SMILE DDS PC

Active
Other names
BRITE SMILE DDS PC
Organization subpart
No

Provider details

NPI number
Authorized official
ALMA LOPEZ (OFFICE MANAGER)
(773) 772-7744
Entity
Organization

Contact information

Practice address
1504 N WESTERN AVE, CHICAGO, IL 60622-1746
(773) 772-7744
(773) 772-7045
Mailing address
1504 N WESTERN AVE, CHICAGO, IL 60622-1746
(773) 772-7744
(773) 772-7045

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/08/2022
Last updated
03/08/2022
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