Individual
DR. GARRY L BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2854 W 4700 S, SALT LAKE CITY, UT 84118-2102
(801) 964-8300
Mailing address
2854 W 4700 S, SALT LAKE CITY, UT 84118-2102
(801) 964-8300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
221382919922
UT
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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