| NPI | 1649421769 |
|---|---|
| Doing Business As | BRIGHT DENTAL OF LOGAN SQUARE |
| Entity Type | Organization |
| Authorized Contact | KENNETH CHAE President 773-276-9280 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026145) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |