| NPI | 1023602695 |
|---|---|
| Doing Business As | BAYSIDE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MITRA MADANI Dentist 410-647-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |