| NPI | 1538601117 |
|---|---|
| Doing Business As | BAYSHORE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | NANCY MARIE KENNON Office Manager 949-759-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 26589) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |