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Individual

DR. MATTHEW JAMES BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
51 DEPOT ST, SUITE 210, WATERTOWN, CT 06795-2629
(860) 274-9315
Mailing address
51 DEPOT ST, SUITE 210, WATERTOWN, CT 06795-2629
(860) 274-9315

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5970
CT

Other

Enumeration date
03/05/2007
Last updated
07/08/2007
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