MARK ENSIO BAKER

POCATELLO, ID
NPI1184798811
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: ID  D3016)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
DR. MARK ENSIO BAKER D.D.S.
165 N 14TH AVE
POCATELLO, ID 83201-4146
Phone number: 208-232-2807
Mailing Address
DR. MARK ENSIO BAKER D.D.S.
PO BOX 6033 165 N. 14TH
POCATELLO, ID 83205-6033
Phone number: 208-232-2807
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