Joseph Lee Bauer, DDS Valid NPI
Individual provider · Dentist · Mill Valley, CA
- NPI
- 1609975135
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 30172 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-09-21
- Last updated
- 2007-07-08
Practice location
613 Strawberry Vlg
Mill Valley, CA 94941-2334
(415) 380-3600