Individual
RYAN JOHN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9101 S TOLEDO AVE STE A, TULSA, OK 74137-2719
(918) 523-4999
Mailing address
9101 S TOLEDO AVE STE A, TULSA, OK 74137-2719
(918) 523-4999
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
246
OK
Other
Enumeration date
03/24/2011
Last updated
11/15/2021
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