Individual
REGINA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4300 GRAVOIS RD, HOUSE SPRINGS, MO 63051-2304
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(608) 858-1316
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2018019352
MO
Other
Enumeration date
11/28/2018
Last updated
12/19/2024
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