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Jay Allen Bauer, DDS Valid NPI

Individual provider · General Practice Dentistry · Carrington, ND

NPI
1902988488
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
1735 (ND)
Sex
Male
Sole proprietor
No
Enumerated
2006-10-20
Last updated
2007-07-08
Practice location
923 1st Street South
Carrington, ND 58421-0139
(701) 652-2801

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