Douglas M Bauer Dds,pa

NPI #1619041969 in Eagan, Minnesota

Provider Information

NPI Number: 1619041969
Entity Type: Organization
Organization Name: Douglas M Bauer Dds,pa
Primary Specialty: Dentist
Enumeration Date: Nov 20, 2006
Last Updated: Jun 23, 2008

Practice Location

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

Authorized Official

Name: DOUGLAS MARTIN BAUER, DDS
Title: DENTIST
Phone: (651) 454-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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