Kelly Bauer, RDH Valid NPI
Individual provider · Dental Hygienist · Lake Jackson, TX
- NPI
- 1922105022
- Type
- Individual (Type 1)
- Primary specialty
- Dental Hygienist
- Specialty group
- Dental Providers
- Taxonomy code
- 124Q00000X
- License number
- 5289 (TX)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-09-20
- Last updated
- 2007-07-08
Practice location
102 Flag Lake Dr Ste C
Lake Jackson, TX 77566-6215
(979) 297-1201