Individual
MR. DALE A. BAUR
Active
Individual
MR. DALE A. BAUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30-017004
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30-017004
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0526103
—
OH
Enumeration date
01/06/2006
Last updated
06/10/2021
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