JONATHAN W BAUTER

BOISE, ID
NPI1013067115
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D-4357)
Additional Taxonomies122300000X Dentist
(Licence: NV  4714)
Enumeration Date2007-01-11
Last Update Date2019-08-15
Business Address
Dr. JONATHAN W BAUTER DDS
210 W MALLARD DR STE E
BOISE, ID 83706-3992
Phone number: 208-344-8363
Mailing Address
Dr. JONATHAN W BAUTER DDS
210 W MALLARD DR STE E
BOISE, ID 83706-3992
Phone number: 208-344-8363
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