| NPI | 1720225881 |
|---|---|
| Doing Business As | BAYSIDE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MAYUR B MEHTA President 310-792-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50491) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 50805) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |