Individual
DR. BRUCE ALLAN BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17 W WASHINGTON ST, BATH, NY 14810-1528
(607) 776-4075
(607) 776-2847
Mailing address
17 W WASHINGTON ST, BATH, NY 14810-1528
(607) 776-4075
(607) 776-2847
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
032112-1
NY
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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