| NPI | 1942842810 |
|---|---|
| Doing Business As | BLUE ISLAND SMILES FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ABHISHEK NAGARAJ Owner 708-371-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-12 |
| Last Update Date | 2020-08-24 |