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Organization
BAYSIDE DENTAL MESQUITE
Active
Organization
BAYSIDE DENTAL MESQUITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY FLORES (OFFICE MANAGER)
(972) 840-2020
Entity
Organization
Contact information
Practice address
2758 N GALLOWAY AVE STE 200, MESQUITE, TX 75150-6381
(972) 270-5113
Mailing address
2758 N GALLOWAY AVE STE 200, MESQUITE, TX 75150-6381
(972) 270-5113
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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