| NPI | 1982132239 |
|---|---|
| Doing Business As | BAYVIEW PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TERA VAN HOUTEN Partner 310-775-0645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-07-21 |