Organization
BLUE ISLAND SMILES PC
Active
Other names
Blue Island Smiles Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABHISHEK NAGARAJ DDS (OWNER)
(708) 371-3844
Entity
Organization
Contact information
Practice address
12059 WESTERN AVENUE, BLUE ISLAND, IL 60406
Mailing address
12059 WESTERN AVE, BLUE ISLAND, IL 60406-1162
(708) 371-3844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/12/2019
Last updated
08/24/2020
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