Individual
DR. ROBERT WARREN BAKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
412 N TIOGA ST, ITHACA, NY 14850-4256
(607) 272-3921
Mailing address
86 TEHAN RD, FREEVILLE, NY 13068-9677
(607) 844-9090
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
041490
NY
Other
Enumeration date
02/20/2007
Last updated
01/15/2013
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