NPI | 1245858695 |
---|---|
Doing Business As | BLOOMING SMILES CHICAGO |
Entity Type | Organization |
Authorized Contact | GABRIELA DURAES President 708-834-3602 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-07-13 |
Last Update Date | 2020-07-13 |