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1053496083
DWIGHT DOUGLAS BAKER
IDAHO FALLS, ID
NPI
1053496083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: ID D-1911-OR)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
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
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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
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