Organization
PAUL M BAUMGARTNER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL M BAUMGARTNER D.D.S. (OWNER)
(503) 829-6879
Entity
Organization
Contact information
Practice address
128 ROSS ST, MOLALLA, OR 97038-9390
(503) 829-6879
(503) 829-3398
Mailing address
PO BOX 417, MOLALLA, OR 97038-0417
(503) 829-6879
(503) 829-3398
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5376
OR
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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