Individual
MRS. MALINA LYNN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
12420 TIMBERLAND BLVD STE 416, KELLER, TX 76248-1230
(817) 518-1100
(817) 518-1106
Mailing address
1116 MAIDA VALE LN, HASLET, TX 76052-5133
(817) 439-2827
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
15414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15414
RDH LICENSE NUMBER
TX
Enumeration date
07/01/2009
Last updated
07/01/2009
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