Organization
JASON E BAKER DDS LLC
Active
Other names
Miramar Beach Dental & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE S DAUGHERTY (PRACTICE ADMINISTRATOR)
(850) 650-2070
Entity
Organization
Contact information
Practice address
77 SOUTH SHORE DRIVE, MIRAMAR BEACH, FL 32550
(850) 650-2070
(850) 650-2073
Mailing address
77 S SHORE DR, MIRAMAR BEACH, FL 32550-4967
(850) 650-2070
(850) 650-2073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17784
FL
Other
Enumeration date
12/13/2012
Last updated
06/30/2015
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