Organization
SUMMERVILLE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY M BAKER DMD PC (OWNER)
(873) 871-6433
Entity
Organization
Contact information
Practice address
405 W 5TH NORTH ST STE A, SUMMERVILLE, SC 29483-6515
(843) 871-6433
Mailing address
405 W 5TH NORTH ST STE A, SUMMERVILLE, SC 29483-6515
(843) 871-6433
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3903
SC
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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