Organization
DOUGLAS M BAUER DDS,PA
Active
Other names
oak cliff dental care
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS MARTIN BAUER DDS (DENTIST)
(651) 454-1414
Entity
Organization
Contact information
Practice address
4640 NICOLS RD, SUITE 100, EAGAN, MN 55122-2306
(651) 454-1414
(651) 454-7987
Mailing address
4640 NICOLS RD, SUITE 100, EAGAN, MN 55122-2306
(651) 454-1414
(651) 454-7987
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8912
MN
Other
Enumeration date
11/20/2006
Last updated
06/23/2008
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