Organization
CE BAKER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE EDWARD BAKER D.D.S. (DR CE BAKER)
(731) 587-5344
Entity
Organization
Contact information
Practice address
103 KENNEDY DR, MARTIN, TN 38237-3309
(731) 587-5344
(731) 587-5342
Mailing address
103 KENNEDY DR, MARTIN, TN 38237-3309
(731) 587-5344
(731) 587-5342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/25/2008
Last updated
07/16/2008
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