Organization
BAYSIDE DENTAL CARE OF PORTLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL RYAN GRESHAM DDS (GENERAL DENTIST)
(806) 206-2183
Entity
Organization
Contact information
Practice address
101 CEDAR DR STE B, PORTLAND, TX 78374-2939
(361) 643-9557
Mailing address
101 CEDAR DR STE B, PORTLAND, TX 78374-2939
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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