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DR. PAIGE THERESA BAFUS DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1447319496
Individual Registrant:DR. PAIGE THERESA BAFUS DDS
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3015 HIGHWAY 95 SUITE 112 BULLHEAD CITY, AZ 86442-4334 US
Tel: 928-758-0008 Fax: 928-758-0009
Tel: 928-758-0008 Fax: 928-758-0009
Contact information for business:
3015 HIGHWAY 95 STE 112 BULLHEAD CITY, AZ 86442-4334 US
Tel: 928-758-0008 Fax: 928-758-0009
Tel: 928-758-0008 Fax: 928-758-0009
Registration Information:
NPI: 1447319496
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 122300000X | Dental Providers Dentist | NV | 5419 |
| Y | 122300000X | Dental Providers Dentist | AZ | D7722 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 100510499 | NV | 05 |
