Individual
JOANNA BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
108 BURTON ST, SPARTANBURG, SC 29301-5400
(864) 576-7169
Mailing address
4551 KENT RD, ANDREWS, SC 29510-6756
(843) 833-2606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10556
SC
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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