| NPI | 1407211725 |
|---|---|
| Doing Business As | BAKER PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | THOMAS CECIL BAKER Owner 208-524-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2020-06-18 |