| NPI | 1720697808 |
|---|---|
| Doing Business As | BLUEJAY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SAM JACOBSON Business Manager 651-307-4966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |