Individual
KAYLA RENEE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1501 E RIVER RD, BELEN, NM 87002-7429
(505) 864-6969
Mailing address
1934 BRYN MAWR DR NE, ALBUQUERQUE, NM 87106-1711
(505) 977-9219
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH4326
NM
Other
Enumeration date
05/08/2018
Last updated
12/08/2020
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