Blue Island Smiles PC
NPI #1942842810 in Blue Island, Illinois
Provider Information
- NPI Number
- 1942842810
- Entity Type
- Organization
- Organization Name
- Blue Island Smiles PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 12, 2019
- Last Updated
- Aug 24, 2020
Practice Location
- Address
- 12059 WESTERN AVENUE
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406
Authorized Official
- Name
- DR. ABHISHEK NAGARAJ, DDS
- Title
- OWNER
- Phone
- (708) 371-3844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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