Individual
ANGELA PAOLETTO BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
15076 AUDUBON LAKE BLVD, GULFPORT, MS 39503
(228) 206-1228
Mailing address
15076 AUDUBON LAKE BLVD, GULFPORT, MS 39503-6240
(228) 206-1228
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
13006035A
IN
124Q00000X
Dental Hygienist
Primary
3863-10DH
MS
124Q00000X
Dental Hygienist
DH009244
GA
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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