Organization
BRIGHT SMILE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED RAMAHA DDS (CEO /PRESIDENT)
(708) 394-5100
Entity
Organization
Contact information
Practice address
1605 S MICHIGAN AVE, CHICAGO, IL 60616-1209
(708) 394-5100
Mailing address
1605 S MICHIGAN AVE, CHICAGO, IL 60616-1209
(708) 394-5100
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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