JERRY GEORGE BAUMGARTNER

FORT KNOX, KY
NPI1437257599
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: WI  3631)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
JERRY GEORGE BAUMGARTNER DDS
2724 BRAVE RIFLES REGIMENT RD HQ USA DENTAL ACTIVITY
FORT KNOX, KY 40121-5111
Phone number: 502-624-6158
Mailing Address
JERRY GEORGE BAUMGARTNER DDS
S3740A WOODLAND RD
VIROQUA, WI 54665
Phone number: 608-634-6933
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