| NPI | 1528427739 |
|---|---|
| Doing Business As | MID BAY DENTAL |
| Entity Type | Organization |
| Authorized Contact | FAITH GASKINS Director Of Credentialing 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20656) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2022-02-04 |