Individual
DR. THERON JEWELL BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
509 OLIVE WAY STE 1538, SEATTLE, WA 98101-1749
(206) 343-8774
(206) 343-3083
Mailing address
509 OLIVE WAY STE 1538, SEATTLE, WA 98101-1749
(206) 343-8774
(206) 343-3083
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010976
WA
Other
Enumeration date
07/30/2007
Last updated
09/13/2016
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