Organization
BRIGHT SMILE DENTAL CLINIC, LTD.
Active
Parent organization
BRIGHT SMILE DENTAL CLINIC, LTD.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIGHT SMILE DENTAL CLINIC, LTD.
Authorized official
ABDULHASSAN A TAWOOSI DDS (OWNER)
(773) 546-8317
Entity
Organization
Contact information
Practice address
6027 W BELMONT AVE STE A, CHICAGO, IL 60634-5116
(773) 237-4291
(773) 237-4291
Mailing address
6027 1/2 W. BELMONT AVE, CHICAGO, IL 60634
(773) 237-4291
(773) 237-4291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518155191
—
IL
Enumeration date
03/17/2008
Last updated
03/17/2008
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