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Individual

DR. THOMAS RICHARD BAUMGARDNER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
7750 N UNION BLVD, SUITE 101, COLORADO SPRINGS, CO 80920-4051
(719) 598-1293
Mailing address
2376 RUSTY RIDGE COURT, COLORADO SPRINGS, CO 80921
(719) 487-8961

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8566
CO

Other

Enumeration date
01/23/2006
Last updated
07/08/2007
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