| NPI | 1043023310 |
|---|---|
| Doing Business As | BAYSIDE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA HANSEN Owner 707-540-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |