Jonathan W Bauter DDS
Jonathan W Bauter DDS is a General Practice Dentistry in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2015.
- Licensed in
- ID
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
210 W Mallard Dr Ste EBoise, ID 83706-6642
Phone: (208) 344-8363
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D4357 (ID) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1629449269 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jonathan Bauter — Owner · (208) 344-8363 |
| NPI enumerated | October 8, 2015 |
| Last updated in NPPES | October 8, 2015 |
| Mailing address | 210 W Mallard Dr, Suite E, Boise, ID 83706-6642 |
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