NPI | 1649321746 |
---|---|
Doing Business As | BRIGHT DENTAL OF LOGAN SQUARE |
Entity Type | Organization |
Authorized Contact | DONG (AKA. KENNETH) HOON CHAE President 773-237-1608 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026145) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2007-07-11 |