| 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 |