Individual
DR. DOUGLAS DURAND BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
1258 COLOMA WAY, ROSEVILLE, CA 95661
(916) 784-1144
Mailing address
1298 EARLTON LANE, LINCOLN, CA 95648
(760) 470-2240
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
48429
CA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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