Bluesky Dental
Bluesky Dental is a General Practice Dentistry in Moscow, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
Practice location Address checks out
2500 W A St Ste 204Moscow, ID 83843-6000
Phone: (208) 882-9111
Fax: (208) 882-3279
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D3597 (ID) |
|---|
Record details
| NPI number | 1073808333 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Henry — Owner · (208) 882-9111 |
| NPI enumerated | June 15, 2011 |
| Last updated in NPPES | June 15, 2011 |
| Mailing address | 2500 W A St Ste 204, Moscow, ID 83843-6000 |
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