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Organization
SUSAN A. BOLLINGER, DDS, INC.
Active
Organization
SUSAN A. BOLLINGER, DDS, INC.
Active
Other names
Bayshore Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ADELE BOLLINGER DDS (OWNER/PRESIDENT)
(949) 759-7007
Entity
Organization
Contact information
Practice address
1401 AVOCADO AVE, SUITE 309, NEWPORT BEACH, CA 92660-7720
(949) 759-7007
(949) 644-0446
Mailing address
1401 AVOCADO AVE, SUITE 309, NEWPORT BEACH, CA 92660-7720
(949) 759-7007
(949) 644-0446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26589
CA
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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