NICHOLAS EDWARD BAKER

BLOOMINGTON, IL
NPI1861658015
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.087687)
Enumeration Date2008-08-06
Last Update Date2008-08-06
Business Address
Dr. NICHOLAS EDWARD BAKER DMD
2206 E OAKLAND AVE
BLOOMINGTON, IL 61701-5761
Phone number: 309-662-5921
Mailing Address
Dr. NICHOLAS EDWARD BAKER DMD
2206 E OAKLAND AVE
BLOOMINGTON, IL 61701-5761
Phone number: 309-662-5921