DR. Kevin S Bauer, DDS

NPI #1619095361 in Rexburg, Idaho

Provider Information

NPI Number: 1619095361
Entity Type: Individual
Name: DR. Kevin S Bauer, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 27, 2007
Last Updated: Aug 27, 2024

Practice Location

Address: 345 N 2ND E STE 3
City: Rexburg
State: Idaho
ZIP Code: 83440-1603
Phone: (208) 390-0109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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