Individual
SKY LEE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8910 N REGENT RD, BAYSIDE, WI 53217-1750
(414) 350-7257
Mailing address
8910 N REGENT RD, BAYSIDE, WI 53217-1750
(414) 350-7257
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002634-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2021
Last updated
03/14/2022
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