Individual
DR. DANIELLE MICHELLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
110 MONTAUK HWY, MORICHES, NY 11955-1407
(631) 878-4488
(631) 878-7330
Mailing address
336 ARTIST LAKE DR, MIDDLE ISLAND, NY 11953-2329
(631) 926-9402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051303
NY
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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