Individual
JUSTIN BAUMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
606 RIVERSIDE AVE, ST CHARLES, IL 60174-2969
(630) 584-5920
Mailing address
606 RIVERSIDE AVE, ST CHARLES, IL 60174-2969
(630) 584-5920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
319.020067
IL
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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