Individual
MR. MARCUS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1501 SAN PEDRO DR SE, DENTAL CLINIC, ALBUQUERQUE, NM 87108-5153
(505) 846-3068
Mailing address
1501 SAN PEDRO DR SE, DENTAL CLINIC, ALBUQUERQUE, NM 87108-5153
(505) 846-3068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63710
CA
Other
Enumeration date
08/14/2014
Last updated
02/11/2016
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