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Organization
BLUE SKY OMS P.C.
Active
Organization
BLUE SKY OMS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID THURGOOD DDS, MS (PRESIDENT)
(970) 506-0350
Entity
Organization
Contact information
Practice address
1707 61ST AVE STE 102, GREELEY, CO 80634-7997
(970) 506-0350
Mailing address
1707 61ST AVE STE 102, GREELEY, CO 80634-7997
(970) 506-0350
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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