Organization
BRIGHT SMILE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN FLAKSMAN DMD (DENTIST)
(847) 962-1057
Entity
Organization
Contact information
Practice address
430 BARRON BLVD, GRAYSLAKE, IL 60030-1666
(847) 543-4200
Mailing address
430 BARRON BLVD, GRAYSLAKE, IL 60030-1666
(847) 543-4200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030839
IL
Other
Enumeration date
07/08/2016
Last updated
10/07/2016
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