| Brite Dental Care | |
|
177 W Northwest Hwy Palatine IL 60067-3550 | |
| (847) 991-0903 | |
| (847) 991-0832 |
| Full Name | Brite Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 177 W Northwest Hwy, Palatine, Illinois |
| Authorized Official Name and Position | James Ikjae Kwon (PRESIDENT) |
| Authorized Official Contact | 8479910903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brite Dental Care 177 W Northwest Hwy Palatine IL 60067-3550 Ph: (847) 991-0903 | Brite Dental Care 177 W Northwest Hwy Palatine IL 60067-3550 Ph: (847) 991-0903 |
| NPI Number | 1124359575 |
|---|---|
| Provider Enumeration Date | 01/26/2010 |
| Last Update Date | 04/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124359575 | NPI | - | NPPES |
| 019026324 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019026324 (Illinois) | Primary |
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