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Organization
OAKLAND DENTAL CARE P.C.
Active
Organization
OAKLAND DENTAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS J BAKER D.D.S. (PRESIDENT/DENTIST)
(618) 549-2166
Entity
Organization
Contact information
Practice address
305 S OAKLAND AVE, CARBONDALE, IL 62901-2545
(618) 549-2166
(618) 529-4128
Mailing address
305 S OAKLAND AVE, CARBONDALE, IL 62901-2545
(618) 549-2166
(618) 529-4128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001129
—
IL
Enumeration date
03/04/2009
Last updated
07/21/2022
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