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Organization
KIMBERLEY A BAKER, DDS, PA
Active
Organization
KIMBERLEY A BAKER, DDS, PA
Active
Other names
Roanoke Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLEY ANNE BAKER DDS (PRESIDENT)
(817) 430-1212
Entity
Organization
Contact information
Practice address
1405 CANNON PKWY, ROANOKE, TX 76262-3620
(817) 430-1212
(817) 491-0154
Mailing address
1405 CANNON PKWY, ROANOKE, TX 76262-3620
(817) 430-1212
(817) 491-0154
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19129
TX
Other
Enumeration date
07/10/2006
Last updated
03/07/2012
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