| Bayside Dental Rowlett | |
|
4624 Lakeview Pkwy Rowlett TX 75088 | |
| (972) 840-2020 | |
| (972) 694-0260 |
| Full Name | Bayside Dental Rowlett |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4624 Lakeview Pkwy, Rowlett, Texas |
| Authorized Official Name and Position | Carolyn Boeke (DIRECTOR) |
| Authorized Official Contact | 9728402020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Dental Rowlett 4624 Lakeview Pkwy Rowlett TX 75088-4027 Ph: (972) 840-2020 | Bayside Dental Rowlett 4624 Lakeview Pkwy Rowlett TX 75088 Ph: (972) 840-2020 |
| NPI Number | 1336669167 |
|---|---|
| Provider Enumeration Date | 06/22/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336669167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13526 (Texas) | Primary |
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