Organization
COMPREHENSIVE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN BAUMLER DMD (DENTIST)
(716) 308-3569
Entity
Organization
Contact information
Practice address
606 RIVERSIDE AVE, SUITE C, ST CHARLES, IL 60174-2969
(630) 584-5920
Mailing address
606 RIVERSIDE AVE, SUITE C, ST CHARLES, IL 60174-2969
(630) 584-5920
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019.030764
IL
Other
Enumeration date
07/17/2016
Last updated
07/17/2016
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