Individual
RON MICHAEL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1211 E BENNETT ST, SPRINGFIELD, MO 65804-1101
(417) 887-7645
Mailing address
1211 E BENNETT ST, SPRINGFIELD, MO 65804-1101
(417) 887-7645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2019020721
MO
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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