KENNETH ROGER BAUMGARTNER

FORT BRAGG, CA
NPI1205933926
Other NameKEN BAUMGARTNER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  34056)
Enumeration Date2006-09-17
Last Update Date2007-07-08
Business Address
-- KENNETH ROGER BAUMGARTNER DDS
18175 N HIGHWAY ONE
FORT BRAGG, CA 95437
Phone number: 707-964-0440
Mailing Address
-- KENNETH ROGER BAUMGARTNER DDS
18175 N HIGHWAY ONE
FORT BRAGG, CA 95437
Phone number: 707-964-0440
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