# BAYSIDE DENTAL PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bayside Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851400550
- **Authorized official:** JULIE H DU DDS (DIRECTOR)
- **Authorized official phone:** (281) 488-3626

## Contact information

- **Practice address:** 2323 CLEAR LAKE CITY BLVD SUITE 140, HOUSTON, TX 77062
- **Practice address phone:** (281) 488-3626
- **Practice address fax:** (281) 486-4766
- **Mailing address:** 2323 CLEAR LAKE CITY BLVD SUITE 140, HOUSTON, TX 77062
- **Mailing address phone:** (281) 488-3626
- **Mailing address fax:** (281) 486-4766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 20694 | TX | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 06/12/2008