| NPI | 1659592673 |
|---|---|
| Former Name | ERICA K BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 23059) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 23059) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2021-09-07 |