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Organization
BLUE SKIES PEDIATRIC DENTISTRY
Active
Organization
BLUE SKIES PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ROSS PRIEVE DMD (MEMBER)
(608) 960-8414
Entity
Organization
Contact information
Practice address
220 KEENAN COURT, SUITE #100, VERONA, WI 53593
(608) 960-8414
Mailing address
220 KEENAN CT STE 100, VERONA, WI 53593-9720
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
10/08/2023
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