| NPI | 1407362205 |
|---|---|
| Doing Business As | BLUEJAY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALEXIS SIMONSON Owner 612-735-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-12-17 |
| Last Update Date | 2017-12-17 |