| NPI | 1073939799 |
|---|---|
| Doing Business As | BAYLISS PARK DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BETTY KERGER Office Manager 712-325-1544 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IA 07421) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |