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General NPI Number Information
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NPI Number | 1053281493
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Entity Type | Organization
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Legal Business Name | BRIGHT DENTAL CAROL STREAM LLC
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 415 W GOLF RD STE 21
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3923
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Country | US
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Telephone | 562-341-5801
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Fax |
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Provider Business Mailing Address
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Address Line | 415 W GOLF RD STE 21
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3923
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RADHIKA TIJORIWALA
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Credential | MD
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Telephone | 562-341-5801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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