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Organization
CAROL A. BAKER, DMD, PA
Active
Organization
CAROL A. BAKER, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL ANNE BAKER DMD (PRESIDENT)
(843) 386-2833
Entity
Organization
Contact information
Practice address
144 E. BROADWAY ST, JOHNSONVILLE, SC 29555
(843) 386-2833
(843) 386-2279
Mailing address
PO BOX 297, JOHNSONVILLE, SC 29555-0297
(843) 386-2833
(843) 386-2279
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4018
SC
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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