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Individual

DR. DORSEY W BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
18275 N. 59 AVE, STE 150, GLENDALE, AZ 85308
(602) 942-0623
(602) 942-2409
Mailing address
18275 N. 59 AVE, STE 150, GLENDALE, AZ 85308
(602) 942-0623
(602) 942-2409

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AZ3760
AZ
1223G0001X
General Practice Dentistry
AZ 3760
AZ
1223G0001X
General Practice Dentistry
AZ3760
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ3760
AZ DENTAL BOARD
AZ
Enumeration date
08/17/2006
Last updated
06/08/2009
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