Individual
GAYLENE V BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OM
Contact information
Practice address
509 OAK CREST DR, NORTH AURORA, IL 60542-9001
(630) 738-8194
Mailing address
509 OAK CREST DR, NORTH AURORA, IL 60542-9001
(630) 738-8194
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020005266
IL
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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