Douglas Martin Bauer, DDS

NPI #1013081355 in Eagan, Minnesota

Provider Information

NPI Number: 1013081355
Entity Type: Individual
Name: Douglas Martin Bauer, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4640 NICOLS RD
Address 2: SUITE 100
City: Eagan
State: Minnesota
ZIP Code: 55122-2306
Phone: (651) 454-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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