Bayside Dental Associates, PA

NPI #1972859189 in Stevensville, Maryland

Provider Information

NPI Number: 1972859189
Entity Type: Organization
Organization Name: Bayside Dental Associates, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 25, 2012
Last Updated: Jul 25, 2012

Practice Location

Address: 208 SAINT CLAIRE PL
City: Stevensville
State: Maryland
ZIP Code: 21666-2170
Phone: (410) 643-8110

Authorized Official

Name: DR. WALTER ALLEN GILLIN, DDS
Title: CEO
Phone: (410) 643-8110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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