Jonathan W Bauter DDS PLLC
Jonathan W Bauter DDS PLLC is a Dentist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2012.
- Licensed in
- ID
- In the registry since
- 2012
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
210 W Mallard Dr Ste EBoise, ID 83706-6642
Phone: (208) 344-8363
Fax: (208) 345-9590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence D4357 (ID) |
|---|
Record details
| NPI number | 1427302843 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jonathan Bauter — President · (208) 344-8363 |
| NPI enumerated | November 7, 2012 |
| Last updated in NPPES | November 7, 2012 |
| Mailing address | 210 W Mallard Dr, Suite E, Boise, ID 83706-6642 |
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