Organization
1ST BRITE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADI M AQEL DDS (DENTIST)
(773) 776-5277
Entity
Organization
Contact information
Practice address
2759 W 55TH ST, CHICAGO, IL 60632
(773) 776-5277
(773) 776-5278
Mailing address
2759 W 55TH ST, CHICAGO, IL 60632
(773) 776-5277
(773) 776-5278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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