Organization
BAYSIDE DENTAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER ALLEN GILLIN DDS (CEO)
(410) 643-8110
Entity
Organization
Contact information
Practice address
208 SAINT CLAIRE PL, STEVENSVILLE, MD 21666-2170
(410) 643-8110
(410) 643-5311
Mailing address
208 SAINT CLAIRE PL, STEVENSVILLE, MD 21666-2170
(410) 643-8110
(410) 643-5311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7389
MD
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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