Provider Demographics
NPI:1699949008
Name:AURORA BRIGHT DENTAL
Entity type:Organization
Organization Name:AURORA BRIGHT DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YASMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KANANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-375-0099
Mailing Address - Street 1:2003 MONTGOMERY RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-9078
Mailing Address - Country:US
Mailing Address - Phone:630-375-0099
Mailing Address - Fax:630-375-0037
Practice Address - Street 1:2003 MONTGOMERY RD
Practice Address - Street 2:SUITE 103
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-9078
Practice Address - Country:US
Practice Address - Phone:630-375-0099
Practice Address - Fax:630-375-0037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty