| NPI | 1881154961 |
|---|---|
| Doing Business As | WEST SIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER AUSTIN ELINE Owner 443-604-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2019-03-23 |