Organization
BAYSIDE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELBERT DAVIS DMD (CEO)
(419) 729-3974
Entity
Organization
Contact information
Practice address
4851 N SUMMIT ST, TOLEDO, OH 43611-2870
(419) 729-3974
(419) 729-9476
Mailing address
4851 N SUMMIT ST, TOLEDO, OH 43611-2870
(419) 729-3974
(419) 729-9476
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
021619
OH
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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