NPI | 1669567574 |
---|---|
Former Legal Business Name | KIMBERLY A KIND BAUER DDS |
Entity Type | Organization |
Authorized Contact | KIMBERLY ANN KIND BAUER Owner Dentist 262-554-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WI 3755) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-08-22 |