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1417179300
BRENT ALAN BAUER
LAS CRUCES, NM
NPI
1417179300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM DD5281)
Enumeration Date
2007-05-02
Last Update Date
2020-08-19
Business Address
BRENT ALAN BAUER DDS
8600 BATAAN MEMORIAL E
LAS CRUCES, NM 88011-6016
Phone number: 575-382-2112
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Mailing Address
BRENT ALAN BAUER DDS
385 CALLE DE ALEGRA STE A
LAS CRUCES, NM 88005-3423
Phone number: 575-526-1105
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