Individual
JESSICA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
70 S STATE ST, VINELAND, NJ 08360-4851
(856) 205-9500
Mailing address
34 WATERTON CT, BEAR, DE 19701-4916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02250600
NJ
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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