Individual
DR. JOHN T BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1055 17TH AVE, 92, LONGMONT, CO 80501-2680
(303) 772-1852
Mailing address
1055 17TH AVE, 92, LONGMONT, CO 80501-2680
(303) 772-1852
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104951
CO
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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