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Organization

SKYTLAND PERIO PLLC

Active
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Organization

SKYTLAND PERIO PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRADY SKYTLAND DMD (MANAGING MEMBER)
(701) 222-8760
Entity
Organization

Contact information

Practice address
1142 W CAPITOL AVE, BISMARCK, ND 58501-1306
(701) 222-8760
Mailing address
1142 W CAPITOL AVE, BISMARCK, ND 58501-1306
(701) 222-8760

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—

Other

Enumeration date
08/11/2026
Last updated
08/11/2026
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