Individual
DR. PAIGE THERESA BAFUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3015 HIGHWAY 95, SUITE 112, BULLHEAD CITY, AZ 86442-4334
(928) 758-0008
(928) 758-0009
Mailing address
3015 HIGHWAY 95, STE 112, BULLHEAD CITY, AZ 86442-4334
(928) 758-0008
(928) 758-0009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5419
NV
122300000X
Dentist
Primary
D7722
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510499
—
NV
Enumeration date
12/06/2006
Last updated
04/18/2011
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