Kenneth J. Bauer, DDS, a Professional Corporation
Kenneth J. Bauer, DDS, a Professional Corporation is a General Practice Dentistry in Santa Rosa, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
55 Mission Cir Ste 107Santa Rosa, CA 95409-5372
Phone: (707) 538-1086
Fax: (707) 538-0934
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1114650207 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Bauer — President · (707) 799-1228 |
| NPI enumerated | July 6, 2022 |
| Last updated in NPPES | July 6, 2022 |
| Certification date | July 6, 2022 |
| Mailing address | 55 Mission Cir Ste 107, Santa Rosa, CA 95409-5372 |
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