Individual
MISS INESHA VONIQUE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
552 STINEY RD, HARDEEVILLE, SC 29927-5228
(843) 987-7400
Mailing address
552 STINEY RD, HARDEEVILLE, SC 29927-5228
(843) 784-2181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9441
SC
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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