Organization
BRITE DENTAL BERWYN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI M AQEL DDS (PRESIDENT)
(708) 439-4655
Entity
Organization
Contact information
Practice address
6301 CERMAK RD, BERWYN, IL 60402-2367
(708) 956-7516
(708) 956-7517
Mailing address
6301 CERMAK RD, BERWYN, IL 60402-2367
(708) 956-7516
(708) 956-7517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
01906128
IL
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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