Individual
DR. MARY THERESA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5760 CLARKSTON ROAD, SUITE A, CLARKSTON, MI 48348
(248) 625-9001
Mailing address
811 HIDDEN PINE RD, BLOOMFIELD HILLS, MI 48304-2410
(248) 647-1097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012770
MI
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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