Organization
BAYSIDE DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A LARTIGUE DMD (PRESIDENT)
(251) 476-6966
Entity
Organization
Contact information
Practice address
2020 ROSEDALE RD, MOBILE, AL 36605-3167
(215) 476-6966
Mailing address
2020 ROSEDALE RD, MOBILE, AL 36605-3167
(215) 476-6966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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