Bluesky Dental

NPI #1073808333 in Moscow, Idaho

Provider Information

NPI Number
1073808333
Entity Type
Organization
Organization Name
Bluesky Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 15, 2011
Last Updated
Jun 15, 2011

Practice Location

Address
2500 W A ST STE 204
City
Moscow
State
Idaho
ZIP Code
83843-6000
Phone
(208) 882-9111

Authorized Official

Name
DR. KEVIN C HENRY, DDS
Title
OWNER
Phone
(208) 882-9111

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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