Organization
BRIGHTER DENTAL OF PARK RIDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER NOUNEH DMD (MANAGING MEMBER)
(312) 927-8882
Entity
Organization
Contact information
Practice address
1416 CANFIELD RD, PARK RIDGE, IL 60068-5553
(847) 698-0888
Mailing address
1416 CANFIELD RD, PARK RIDGE, IL 60068-5553
(847) 698-0888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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