Jerry W Bautsch, DDS

NPI #1902993827 in Kingwood, Texas

Provider Information

NPI Number
1902993827
Entity Type
Individual
Name
Jerry W Bautsch, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Oct 10, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2815 W LAKE HOUSTON PKWY
Address 2
SUITE 107
State
Texas
ZIP Code
77339-5227
Phone
(281) 361-2011

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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