Organization
BAY CITY KIDS DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN WILLIS DMD (OWNER)
(979) 541-5400
Entity
Organization
Contact information
Practice address
4208 AVENUE F, BAY CITY, TX 77414-8006
(979) 541-5400
Mailing address
4208 AVENUE F, BAY CITY, TX 77414-8006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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