Individual
MARTHA DIANE BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6545 FRANCE AVE S, SUITE 571, EDINA, MN 55435-2131
(952) 926-7696
Mailing address
6545 FRANCE AVE S, SUITE 571, EDINA, MN 55435-2131
(952) 926-7696
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10114
MN
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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