Individual
THEODORE M. BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1628 S MILDRED ST, SUITE 206, TACOMA, WA 98465-1627
(253) 460-1800
(253) 460-0697
Mailing address
1628 S MILDRED ST, SUITE 206, TACOMA, WA 98465-1627
(253) 460-1800
(253) 460-0697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6185
WA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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