Individual
DR. MARTIN HATHORN BAKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
6504 HIGHWAY 98, STE G, HATTIESBURG, MS 39402
(601) 544-2222
Mailing address
PO BOX 15609, HATTIESBURG, MS 39404-5609
(601) 544-2222
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
OR10485
MS
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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