Individual
DR. CODY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
200 WHITE ST NW, MARIETTA, GA 30060-1058
(770) 514-1224
Mailing address
200 WHITE ST NW, MARIETTA, GA 30060-1058
(770) 514-1224
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122299
GA
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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