Individual
ALLISON BAYLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
141 CAPTAIN THOMAS BLVD, WEST HAVEN, CT 06516-5914
(206) 932-3675
(203) 934-9701
Mailing address
141 CAPTAIN THOMAS BLVD, WEST HAVEN, CT 06516-5914
(206) 932-3675
(203) 934-9701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
114692
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004011136
—
CT
Enumeration date
06/27/2014
Last updated
03/12/2019
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