Individual
DR. MICHAEL SHANE BAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1 FREEDOM WAY # 233U, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
1 FREEDOM WAY # 233U, AUGUSTA, GA 30904-6258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015016
GA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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