Mark Richard Baus DDS

NPI 1003893249 - Dentist - 1223S0112X

NPI Details
NPI 1003893249
Gender Male
Enumeration Date 12/29/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1 JARRETT WHITE ROAD
ATTN: MCDS-NH US ARMY DENTAL ACTIVITY HAWAII
TRIPLER AMC HI, 96859-5000, US
Phone (808) 433-1021
Fax (808) 433-3928
Business Location
1 JARRETT WHITE ROAD
ATTN: MCDS-NH US ARMY DENTAL ACTIVITY HAWAII
TRIPLER AMC HI, 96859-5000, US
Phone (808) 433-1021
Fax (808) 433-3928
Toxanomy
Taxonomy Code 1223S0112X
License State Wisconsin
License Number 3807-015
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According to our database, Dr. Mark Richard Baus DDS NPI is 1003893249, taxonomy code is 1223S0112X and license number is 3807-015, license state is located at Wisconsin. Mark Richard Baus DDS physically located at 1 Jarrett White Road, Tripler Amc HI, 96859-5000. NPI Number Mark Richard Baus DDS has the Individual type.

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1003893249 NPI number is provided on an as is basis without warranty of any kind. 1003893249 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Richard Baus DDS are for informational purposes only.