| NPI | 1275764672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY M BAKER Owner 873-871-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 3903) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |