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Individual

DR. MICHAEL EDWARD BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4110 HIGHLAND DR, SUITE 200, SALT LAKE CITY, UT 84124-2676
(801) 660-0896
(435) 654-2586
Mailing address
4110 HIGHLAND DR, SUITE 200, SALT LAKE CITY, UT 84124-2676
(801) 660-0896
(435) 654-2586

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
327395-9921
UT

Other

Enumeration date
06/18/2012
Last updated
06/18/2012
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