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Contact Information

BRITE DENTAL 59 PULASKI, P.C
5917 SOUTH PULASKI ROAD
CHICAGO, IL60629
 Phone: 773-776-5277
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BRITE DENTAL 59 PULASKI PC · (Female)

NPI Number 1245584853
Status Active
Credentials
Entity Individual
Enumeration date 11/05/2012
Last updated 11/05/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 019.026128
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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