DR. Jonathan W Bauter, DDS

NPI #1013067115 in Boise, Idaho

Provider Information

NPI Number: 1013067115
Entity Type: Individual
Name: DR. Jonathan W Bauter, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 11, 2007
Last Updated: Aug 15, 2019

Practice Location

Address: 210 W MALLARD DR STE E
City: Boise
State: Idaho
ZIP Code: 83706-3992
Phone: (208) 344-8363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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