Organization
BAYLEE DENTAL PA
Active
Other names
Baylee Dental PA
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE M REGO (ADMIN)
(352) 259-6799
Entity
Organization
Contact information
Practice address
16850 S US HIGHWAY 441 STE 301, SUMMERFIELD, FL 34491-8657
(352) 307-3006
Mailing address
12161 COUNTY ROAD 103 STE 101, OXFORD, FL 34484-2986
(352) 259-6799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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