Individual
DR. MARK R BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
135 E 38TH ST, ERIE, PA 16504-1559
(814) 860-2105
(814) 860-2488
Mailing address
5234 MILL ST, ERIE, PA 16509-2582
(814) 866-0192
(814) 860-2488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS023627L
PA
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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