Jonathan W Bauter DDS

NPI #1629449269 in Boise, Idaho

Provider Information

NPI Number: 1629449269
Entity Type: Organization
Organization Name: Jonathan W Bauter DDS
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 8, 2015
Last Updated: Oct 8, 2015

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: DR. JONATHAN BAUTER, DDS
Title: OWNER
Phone: (208) 344-8363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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