Individual
DR. THOMAS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1900 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401-4366
(208) 524-0644
(208) 524-6100
Mailing address
3586 DALEEN ST, AMMON, ID 83401-4642
(208) 589-1870
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D4732PD
ID
Other
Enumeration date
03/14/2014
Last updated
09/12/2016
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