Individual
DR. MATTHEW J BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
150 WEISS RD, SUITE 102, COTTLEVILLE, MO 63376-0045
(636) 447-2083
(636) 447-2059
Mailing address
150 WEISS RD, SUITE 102, COTTLEVILLE, MO 63376-0045
(636) 447-2083
(636) 447-2059
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019026933
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2011004362
MO
Other
Enumeration date
10/14/2009
Last updated
05/23/2011
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