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Individual

MR. DALE A. BAUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
9601 CHESTER AVE, SUITE 154, CLEVELAND, OH 44106-1666
(212) 368-3102
(216) 368-4338
Mailing address
PO BOX 415, CHESTERLAND, OH 44026-0415
(440) 729-3399
(440) 729-6001

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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