Individual
DR. PHILIP ROBERT BAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
133 E MAYNE ST, BLUE GRASS, IA 52726-9718
(563) 381-4830
(563) 381-5071
Mailing address
133 E MAYNE ST, PO BOX 98, BLUE GRASS, IA 52726-9718
(563) 381-4830
(563) 381-5071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7609
IA
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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