Organization
BLISS AND BLACKMAN LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER ZENAS BLISS DDS (DENTIST)
(630) 260-0333
Entity
Organization
Contact information
Practice address
400 N GARY AVE, CAROL STREAM, IL 60188-4916
(630) 260-0333
(630) 260-2981
Mailing address
400 N GARY AVE, CAROL STREAM, IL 60188-4916
(630) 260-0333
(630) 260-2981
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124173687
NPI
—
01
—
1760525984
NPI
—
Enumeration date
04/02/2007
Last updated
08/22/2020
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