| NPI | 1811199284 |
|---|---|
| Doing Business As | BAYSHORE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MARK ALFRED SHOUSHA President 480-855-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 4329) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2009-07-15 |