Organization
BAYSIDE DENTAL PA
Active
Other names
Bayside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE H DU DDS (DIRECTOR)
(281) 488-3626
Entity
Organization
Contact information
Practice address
2323 CLEAR LAKE CITY BLVD SUITE 140, HOUSTON, TX 77062
(281) 488-3626
(281) 486-4766
Mailing address
2323 CLEAR LAKE CITY BLVD SUITE 140, HOUSTON, TX 77062
(281) 488-3626
(281) 486-4766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20694
TX
Other
Enumeration date
08/29/2006
Last updated
06/12/2008
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