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1356506596
KENNETH JAMES BAUER
SANTA ROSA, CA
NPI
1356506596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 34668)
Enumeration Date
2008-07-28
Last Update Date
2008-07-28
Business Address
Mr. KENNETH JAMES BAUER D.D.S
55 MISSION CIR STE 107
SANTA ROSA, CA 95409-5372
Phone number: 707-538-1086
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Mailing Address
Mr. KENNETH JAMES BAUER D.D.S
55 MISSION CIR STE 107
SANTA ROSA, CA 95409-5372
Phone number: 707-538-1086
Copy
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