Individual
DR. PAUL M BAUMGARTNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
128 ROSS ST, MOLALLA, OR 97038-9390
(503) 829-6879
(503) 829-3398
Mailing address
PO BOX 417, MOLALLA, OR 97038-0417
(503) 829-6879
(503) 829-3398
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5376
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018499
—
OR
Enumeration date
08/11/2005
Last updated
07/08/2007
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