Organization
CAROL A. BAKER, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL ANNE BAKER DMD (PRESIDENT)
(843) 386-2833
Entity
Organization
Contact information
Practice address
144 E. BROADWAY ST, JOHNSONVILLE, SC 29555
(843) 386-2833
(843) 386-2279
Mailing address
PO BOX 297, JOHNSONVILLE, SC 29555-0297
(843) 386-2833
(843) 386-2279
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4018
SC
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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