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Individual

BRYAN BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
531 E ROOSEVELT RD, SUITE 100, WHEATON, IL 60187-5583
(630) 665-5550
Mailing address
1547 ORCHARD RD, WHEATON, IL 60189-7201
(312) 371-6831

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026380
IL

Other

Enumeration date
03/07/2007
Last updated
05/24/2012
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