| NPI | 1316097504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK M BAUER Dr 417-883-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MO 05188) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |