Individual
DR. RAQUEL BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2301 N 36TH ST STE 102, BOISE, ID 83703
(208) 336-8801
(208) 466-5359
Mailing address
7703 FLOYD CURL DR # 7914, SAN ANTONIO, TX 78229-3900
(248) 762-8677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29914
TX
1223G0001X
General Practice Dentistry
D-5022
ID
Other
Enumeration date
06/21/2012
Last updated
12/06/2022
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