| NPI | 1336669167 |
|---|---|
| Doing Business As | BAYSIDE DENTAL ROWLETT |
| Entity Type | Organization |
| Authorized Contact | CAROLYN BOEKE Director 972-840-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 13526) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-07-21 |