Individual
BO BAUSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
99 ROSEMAR RD, PARKERSBURG, WV 26104-7657
(304) 878-7189
Mailing address
99 ROSEMAR RD, PARKERSBURG, WV 26104-7657
(304) 878-7189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.027206
OH
122300000X
Dentist
Primary
4630
WV
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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