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Organization

BRILLIANT DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VINCENT LIN DDS (PRESIDENT)
(630) 701-0702
Entity
Organization

Contact information

Practice address
1400 W 75TH ST, B1, DOWNERS GROVE, IL 60516
(630) 701-0702
Mailing address
1400 W 75TH ST, B1, DOWNERS GROVE, IL 60516
(630) 701-0702

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026119
IL

Other

Enumeration date
04/29/2010
Last updated
04/29/2010
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