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1104682301
DAKOTA REX BAKER
POCATELLO, ID
NPI
1104682301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID d-5623)
Enumeration Date
2024-02-26
Last Update Date
2024-08-07
Business Address
Dr. DAKOTA REX BAKER DDS
485 E ALAMEDA RD
POCATELLO, ID 83201-3609
Phone number: 208-904-3966
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Mailing Address
Dr. DAKOTA REX BAKER DDS
715 CASTLEROCK LN
IDAHO FALLS, ID 83404-7997
Phone number: 208-881-2575
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