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Individual

DR. JOE ALLEN BAUMGARTNER I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1001 N MAIN ST, SUITE TWO, NAPPANEE, IN 46550-1016
(574) 773-7979
(574) 773-7292
Mailing address
1001 N MAIN ST, SUITE TWO, NAPPANEE, IN 46550-1016
(574) 773-7979
(574) 773-7292

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007757A
IN

Other

Enumeration date
01/11/2007
Last updated
07/08/2007
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