Individual
DR. LEE HOUSE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1243 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1807
(706) 855-8989
(706) 855-0321
Mailing address
1243 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1807
(706) 855-8989
(706) 855-0321
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11680
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
945328611
—
GA
Enumeration date
03/22/2006
Last updated
06/19/2013
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