DWIGHT DOUGLAS BAKER

IDAHO FALLS, ID
NPI1053496083
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: ID  D-1911-OR)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
Dr. DWIGHT DOUGLAS BAKER D.D.S., M.S.
1900 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4366
Phone number: 208-524-0644
Mailing Address
Dr. DWIGHT DOUGLAS BAKER D.D.S., M.S.
1900 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4366
Phone number: 208-524-0644