| 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 |