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1861142325
AUSTIN BAKER
PHILADELPHIA, PA
NPI
1861142325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-28
Last Update Date
2023-05-02
Business Address
AUSTIN BAKER DDS
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Phone number: 801-361-5189
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Mailing Address
AUSTIN BAKER DDS
305 MARNE RD
BROOKLAWN, NJ 08030-2516
Phone number: 801-361-5189
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