Organization
REYNOLD J. BAUMSTARK DDS
Active
Other names
Reynold J Baumstark, D.D.S., PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REYNOLD JOSEPH BAUMSTARK D.D.S. (PRESIDENT)
(989) 793-0353
Entity
Organization
Contact information
Practice address
5605 COLONY DR N, SUITE 1, SAGINAW, MI 48638-5718
(989) 793-0353
Mailing address
5605 COLONY DR N, SUITE 1, SAGINAW, MI 48638-5718
(989) 793-0353
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901010390
MI
Other
Enumeration date
09/08/2010
Last updated
03/30/2011
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