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Individual
MR. JOS J BAKKER
Active
Individual
MR. JOS J BAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59006029
BLUE CROSS BLUE SHIELD AL
—
01
—
621151
UNITED CONCORDIA
—
01
—
66091
BLUE CROSS BLUE SHIELD FL
—
Enumeration date
03/23/2007
Last updated
07/08/2007
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