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Individual

TRAVIS L BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
420 S INDIANA ST, MOORESVILLE, IN 46158
(317) 831-2006
(317) 831-6921
Mailing address
PO BOX 115, 420 S INDIANA ST, MOORESVILLE, IN 46158
(317) 831-2006
(317) 831-6921

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12006080
IN

Other

Enumeration date
10/17/2006
Last updated
07/08/2007
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