| Bauman Ventures Llc | |
|
1099 Moore Lake Dr E Fridley MN 55432-5153 | |
| (763) 614-0454 | |
| Not Available |
| Full Name | Bauman Ventures Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1099 Moore Lake Dr E, Fridley, Minnesota |
| Authorized Official Name and Position | William M Bauman (OWNER) |
| Authorized Official Contact | 7636140454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bauman Ventures Llc 4061 Kokanee Ln N Lake Elmo MN 55042-4001 Ph: (763) 614-0454 | Bauman Ventures Llc 1099 Moore Lake Dr E Fridley MN 55432-5153 Ph: (763) 614-0454 |
| NPI Number | 1710716147 |
|---|---|
| Provider Enumeration Date | 08/01/2024 |
| Last Update Date | 08/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710716147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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