SAMUAL LEE BACH DDS
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1386373603- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 1905 PLAZA DR, EAGAN, MN, 551222883
- Phone
- (651) 686-6800
Specialties & Taxonomies
Dentist
Primary License: MN #D14759
Dentist
License: MN #D145759
All Addresses
MAILING
1905 PLAZA DR
EAGAN, MN, 551222883