Kenneth J. Bauer, Dds, a Professional Corporation
NPI #1114650207 in Santa Rosa, California
Provider Information
- NPI Number
- 1114650207
- Entity Type
- Organization
- Organization Name
- Kenneth J. Bauer, Dds, a Professional Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 6, 2022
- Last Updated
- Jul 6, 2022
Practice Location
- Address
- 55 MISSION CIR STE 107
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95409-5372
- Phone
- (707) 538-1086
Authorized Official
- Name
- DR. KENNETH BAUER, DDS
- Title
- PRESIDENT
- Phone
- (707) 799-1228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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