Organization · Type 2 NPI
Bailey A Youngblade, LLC
Dental Clinic/Center · Pewaukee, WI
NPI number
1720877897
Active
Practice location
617 Ryan St
Pewaukee, WI 53072-1800
Mailing address
N53W16418 Whitetail Run
Menomonee Falls, WI 53051-0623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Pewaukee
About NPI 1720877897
Bailey A Youngblade, LLC's National Provider Identifier is 1720877897, issued on May 5, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pewaukee, WI. The record was last updated on May 5, 2025.