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Organization

SCOTT W BAUMANN DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT WILLIAM BAUMANN DDS (PRESIDENT)
(641) 236-6174
Entity
Organization

Contact information

Practice address
902 PARK ST, GRINNELL, IA 50112-2050
(641) 236-6174
(641) 236-8784
Mailing address
902 PARK ST, GRINNELL, IA 50112-2050
(641) 236-6174

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29573
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0232272
IA
Enumeration date
05/21/2008
Last updated
05/21/2008
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