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DR. ROBERT J BAUDER DMD, PC
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1679618524
Individual Registrant:DR. ROBERT J BAUDER DMD, PC
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
36275 KENAI SPUR HWY SUITE #1 SOLDOTNA, AK 99669-7106 US
Tel: 907-262-8404 Fax: 907-262-9442
Tel: 907-262-8404 Fax: 907-262-9442
Contact information for business:
36275 KENAI SPUR HWY SUITE #1 SOLDOTNA, AK 99669-7106 US
Tel: 907-262-8404 Fax: 907-262-9442
Tel: 907-262-8404 Fax: 907-262-9442
Registration Information:
NPI: 1679618524
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | AK | 613 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
