Organization
BRIGHT DENTAL 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAM CHANDOK DDS (DENTIST)
(414) 378-7971
Entity
Organization
Contact information
Practice address
1300 W LINCOLN AVE, MILWAUKEE, WI 53215-3127
(414) 378-7971
Mailing address
1300 W LINCOLN AVE, MILWAUKEE, WI 53215-3127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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