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Bauman Ventures LLC — NPI 1710716147, Fridley, MN | NPI Central

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OrganizationActive

Bauman Ventures LLC

NPI 1710716147 · Dental Clinic/Center · Fridley, MN

Provider details

NPI number: 1710716147
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: William Bauman, Owner(763) 614-0454

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

1099 Moore Lake Dr E

Fridley, MN 55432-5153

Phone: (763) 614-0454

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

4061 Kokanee Ln N

Lake Elmo, MN 55042-4001

Other names (DBA / former)

Doing business as: Dentistry for the Entire Family

Registry dates

Enumerated: 2024-08-01
Last updated: 2024-08-01
Certified: 2024-08-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.