Organization
BLUEJAY FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN NICHOLAS FIDONE DDS (DOCTOR)
(402) 208-3571
Entity
Organization
Contact information
Practice address
1860 MADISON AVE STE 4, COUNCIL BLUFFS, IA 51503-5200
(712) 256-6263
Mailing address
1860 MADISON AVE STE 4, COUNCIL BLUFFS, IA 51503-5200
(712) 256-6263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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