Kenneth Roger Baumgartner, DDS

NPI #1205933926 in Fort Bragg, California

Provider Information

NPI Number: 1205933926
Entity Type: Individual
Name: Kenneth Roger Baumgartner, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 18175 N HIGHWAY ONE
City: Fort Bragg
State: California
ZIP Code: 95437
Phone: (707) 964-0440

Specialties & Taxonomy Codes

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

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