Individual
MRS. MEGAN JANEE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1429 CENTER DR STE 104, MEDFORD, OR 97501-7993
(541) 500-6001
Mailing address
1429 CENTER DR STE 104, MEDFORD, OR 97501-7993
(541) 500-6001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
103697
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D9494
OR
Other
Enumeration date
08/09/2010
Last updated
05/27/2020
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