Individual
KENDRA STANLEY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2645 SULLIVAN GARDENS PKWY, KINGSPORT, TN 37660-7458
(423) 349-8315
Mailing address
2645 SULLIVAN GARDENS PKWY, KINGSPORT, TN 37660-7458
(423) 349-8315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8832
TN
Other
Enumeration date
07/09/2008
Last updated
01/02/2021
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