Organization
BRAD L. BAUER, DMD, PA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD LOUDEN BAUER DMD (PRESIDENT)
(330) 856-5711
Entity
Organization
Contact information
Practice address
8096 EAST MARKET STREET, WARREN, OH 44484
(330) 856-5711
(330) 856-7685
Mailing address
8096 EAST MARKET STREET, WARREN, OH 44484
(330) 856-5711
(330) 856-7685
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30022050
OH
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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