| NPI | 1730551268 |
|---|---|
| Doing Business As | BAYLISS PARK DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RYAN THOMAS HAJEK Owner 605-354-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IA 09125) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |