Individual
THANAKORN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
434 S 1ST AVE STE 300, HILLSBORO, OR 97123-3957
(503) 967-5017
Mailing address
434 S 1ST AVE STE 300, HILLSBORO, OR 97123-3957
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D11938
OR
Other
Enumeration date
01/27/2022
Last updated
07/01/2024
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