| Bauer Family Dental | |
|
345 N 2nd E Ste 3 Rexburg ID 83440-1603 | |
| (208) 356-8759 | |
| Not Available |
| Full Name | Bauer Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 345 N 2nd E Ste 3, Rexburg, Idaho |
| Authorized Official Name and Position | Julee S. Bauer (MANAGER) |
| Authorized Official Contact | 2083900110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bauer Family Dental 345 N 2nd E Ste 3 Rexburg ID 83440-1603 Ph: (208) 356-8759 | Bauer Family Dental 345 N 2nd E Ste 3 Rexburg ID 83440-1603 Ph: (208) 356-8759 |
| NPI Number | 1558195255 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558195255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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