| NPI | 1952846297 |
|---|---|
| Doing Business As | BAYSHORE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LUCIAN MORSE Director 602-973-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: AZ 4320) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |