Individual
DR. JUSTIN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
241 W FOREST ST, BRIGHAM CITY, UT 84302
(435) 723-6120
Mailing address
241 W FOREST ST, BRIGHAM CITY, UT 84302-2022
(435) 723-6120
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
10144761-9922
UT
Other
Enumeration date
08/28/2016
Last updated
08/01/2019
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