KELLY BAUER

LAKE JACKSON, TX
NPI1922105022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: TX  5289)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
-- KELLY BAUER RDH
102 FLAG LAKE DR STE C
LAKE JACKSON, TX 77566-6215
Phone number: 979-297-1201
Mailing Address
-- KELLY BAUER RDH
110 FLAG DR E
LAKE JACKSON, TX 77566-6006
Phone number: 979-297-1634
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