Organization
STEVENSONS DENTAL ARK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANNI T BAKER DDS (MANAGER)
(915) 855-2337
Entity
Organization
Contact information
Practice address
11165 LA QUINTA PL, EL PASO, TX 79936-5221
(915) 591-1999
(915) 591-3201
Mailing address
11965 PELLICANO DR, EL PASO, TX 79936-6829
(915) 855-2337
(915) 503-1012
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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