Individual
DR. ANNETTE MARIE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MD
Contact information
Practice address
848 SCIOTO ST, URBANA, OH 43078-2255
(937) 653-7623
(937) 653-6916
Mailing address
848 SCIOTO ST, URBANA, OH 43078-2255
(937) 653-7623
(937) 653-6916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30020801
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199177
—
OH
05
—
0301275
—
OH
Enumeration date
09/20/2006
Last updated
01/17/2018
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