Organization
BAYSHORE DENTAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURI PATEL DDS (OWNER)
(414) 332-6010
Entity
Organization
Contact information
Practice address
400 E SILVER SPRING DR, MILWAUKEE, WI 53217-5224
(414) 332-6010
(414) 322-1850
Mailing address
400 E SILVER SPRING DR, MILWAUKEE, WI 53217-5224
(414) 332-6010
(414) 322-1850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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