Individual
DR. PHILIP AGUSTIN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2935 N COUNTRY CLUB RD, TUCSON, AZ 85716-1911
(520) 327-1205
Mailing address
4156 E STONE RIVER DR, TUCSON, AZ 85712-6651
(520) 780-3877
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011131
AZ
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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