Individual
JUDYTHE LEIGH BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1160 ROME CENTER DR, NEKOOSA, WI 54457-8705
(715) 422-7750
(715) 424-9027
Mailing address
420 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4714
(715) 422-7773
(715) 424-9027
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2917-016
WI
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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