# KENNETH W. BAKER, D.D.S.,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649569690
- **Authorized official:** DR. KENNETH W BAKER D.D.S. (DENTIST)
- **Authorized official phone:** (956) 686-2052

## Contact information

- **Practice address:** 5000 N 10TH ST, MCALLEN, TX 78504-2832
- **Practice address phone:** (956) 686-2052
- **Practice address fax:** (956) 682-1749
- **Mailing address:** 5000 N 10TH ST, MCALLEN, TX 78504-2832
- **Mailing address phone:** (956) 686-2052
- **Mailing address fax:** (956) 682-1749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12405 | TX | Yes |

## Other

- **Enumeration date:** 03/30/2011
- **Last updated:** 03/30/2011