Organization · Type 2 NPI

Blue Skies Pediatric Dentistry

Dental Clinic/Center · Verona, WI

NPI number 1154045953 Active

Practice location

220 Keenan Court, Suite #100
Verona, WI 53593

Mailing address

220 Keenan Ct Ste 100
Verona, WI 53593-9720

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1154045953

Blue Skies Pediatric Dentistry's National Provider Identifier is 1154045953, issued on Sep 27, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Verona, WI. The record was last updated on Oct 8, 2023.