Organization
T D BAXTER JR DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN M BAKER JR. (OFFICE ADMINISTRATOR)
(757) 464-3514
Entity
Organization
Contact information
Practice address
2021 PLEASURE HOUSE RD, VIRGINIA BEACH, VA 23455-2709
(757) 464-3514
(757) 460-7815
Mailing address
2021 PLEASURE HOUSE RD, VIRGINIA BEACH, VA 23455-2709
(757) 464-3514
(757) 460-7815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
08/06/2008
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