Individual
DANIELLE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
1880 N ROSELLE RD, SUITE 212, SCHAUMBURG, IL 60195-3197
(847) 882-3360
Mailing address
911 GENESEE DR, NAPERVILLE, IL 60563-4114
(630) 310-8562
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019.027391
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002356
IL
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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