Individual
DR. RICHARD T. BAUDENDISTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3012 GLENMORE AVE, SUITE 12, CINCINNATI, OH 45238-2269
(513) 661-8509
Mailing address
3012 GLENMORE AVE, SUITE 12, CINCINNATI, OH 45238-2269
(513) 661-8509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-023714
OH
Other
Enumeration date
07/12/2012
Last updated
05/14/2013
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