Individual
JILL BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2740 IRONSTONE CIRCLE, SANTA ROSA, CA 95407
(707) 703-3703
(707) 666-7091
Mailing address
2740 IRONSTONE CIRCLE, SANTA ROSA, CA 95407
(707) 703-3703
(707) 666-7091
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
08/05/2014
Last updated
11/03/2014
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