| NPI | 1609592534 |
|---|---|
| Doing Business As | BAYVIEW DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER POTRYKUS Owner 262-873-0510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |