| NPI | 1558195255 |
|---|---|
| Doing Business As | BAUER FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JULEE S. BAUER Manager 208-390-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |