Individual
DR. BRUCE JAY BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., PH.D.
Contact information
Practice address
MPTB NIDCR NIH, BLDG. 10, RM. 1N113, MSC-1190, BETHESDA, MD 20892-0001
(301) 496-1363
(301) 402-1228
Mailing address
MPTB NIDCR NIH, BLDG. 10, RM. 1N113, MSC-1190, BETHESDA, MD 20892-0001
(301) 496-1363
(301) 402-1228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6106
MD
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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