Organization
BAILEY A YOUNGBLADE, LLC
Active
Other names
Ostrand Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
BAILEY YOUNGBLADE DDS (OWNER)
(515) 339-9655
Entity
Organization
Contact information
Practice address
617 RYAN ST, PEWAUKEE, WI 53072-1800
(262) 695-8600
Mailing address
N53W16418 WHITETAIL RUN, MENOMONEE FALLS, WI 53051-0623
(515) 339-9655
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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