Individual
BRENT ALAN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8600 BATAAN MEMORIAL E, LAS CRUCES, NM 88011-6016
(575) 382-2112
(575) 382-5064
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5281
NM
Other
Enumeration date
05/02/2007
Last updated
08/19/2020
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