Organization
BAUMAN VENTURES LLC
Active
Other names
Dentistry for the Entire Family
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM M BAUMAN DDS (OWNER)
(763) 614-0454
Entity
Organization
Contact information
Practice address
1099 MOORE LAKE DR E, FRIDLEY, MN 55432-5153
(763) 614-0454
Mailing address
4061 KOKANEE LN N, LAKE ELMO, MN 55042-4001
(763) 614-0454
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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