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Organization

KEYSTONE BAYVIEW LLC

Active
Other names
Bayview Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER POTRYKUS DDS (OWNER)
(262) 873-0510
Entity
Organization

Contact information

Practice address
3380 S KINNICKINNIC AVE, MILWAUKEE, WI 53207-3159
(262) 873-0510
Mailing address
PO BOX 180163, DELAFIELD, WI 53018-0163
(262) 873-0510

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/12/2022
Last updated
10/12/2022
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