Organization
BRIAN P. BAKER DMD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN PAUL BAKER D.M.D. (OWNER)
(321) 267-7072
Entity
Organization
Contact information
Practice address
1625 S WASHINGTON AVE, SUITE B, TITUSVILLE, FL 32780-4734
(321) 267-7072
(321) 267-4948
Mailing address
1625 S WASHINGTON AVE, SUITE B, TITUSVILLE, FL 32780-4734
(321) 267-7072
(321) 267-4948
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN0012861
FL
Other
Enumeration date
01/16/2007
Last updated
01/21/2009
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