| NPI | 1790960177 |
|---|---|
| Former Legal Business Name | BAY BREEZE DENTISTRY PA |
| Entity Type | Organization |
| Authorized Contact | CARMEN VIRGINIA SANTANA-PAINE Dentist/Owner 603-610-8765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NH 3451) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |