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 |