NPI | 1659401966 |
---|---|
Other Name | BAKER K VINCI |
Entity Type | Organization |
Authorized Contact | BAKER K VINCI Owner 225-923-3223 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA LA4742) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-22 |