Individual
JORDAN BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3305 NORTHLAND DR, SUITE 515, AUSTIN, TX 78731-4961
(512) 452-9296
Mailing address
1106 W 6TH ST, UNIT 211, AUSTIN, TX 78703-5328
(717) 994-6897
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29375
TX
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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