Jonathan W Bauter DDS Pllc

NPI #1427302843 in Boise, Idaho

Provider Information

NPI Number: 1427302843
Entity Type: Organization
Organization Name: Jonathan W Bauter DDS Pllc
Primary Specialty: Dentist
Enumeration Date: Nov 7, 2012
Last Updated: Nov 7, 2012

Practice Location

Address: 210 W MALLARD DR
Address 2: SUITE E
City: Boise
State: Idaho
ZIP Code: 83706-6642
Phone: (208) 344-8363

Authorized Official

Name: JONATHAN W BAUTER, D.D.S.
Title: PRESIDENT
Phone: (208) 344-8363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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