NPI | 1851400550 |
---|---|
Doing Business As | BAYSIDE DENTAL |
Entity Type | Organization |
Authorized Contact | JULIE H DU Director 281-488-3626 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 20694) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2008-06-12 |