Organization
LARRY S. BAKER, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY H. LUNDY (OFFICE MANAGER)
(405) 943-3575
Entity
Organization
Contact information
Practice address
2616 W I 44 SERVICE RD, OKLAHOMA CITY, OK 73112-3720
(405) 943-3575
(405) 943-3583
Mailing address
2616 W I 44 SERVICE RD, OKLAHOMA CITY, OK 73112-3720
(405) 943-3575
(405) 943-3583
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4399
OK
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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