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Individual

STEPHEN BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6520 N 7TH AVE STE 1, PHOENIX, AZ 85013-1158
(602) 806-9999
Mailing address
2520 N 46TH ST APT 7, PHOENIX, AZ 85008-2429
(941) 681-6544

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011764
AZ

Other

Enumeration date
04/24/2023
Last updated
04/04/2024
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Product
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  • EDI platform