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Individual

DR. JOSHUA W BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
820 LOWER DALLAS HWY, DALLAS, NC 28034
(704) 922-9808
(704) 922-8213
Mailing address
820 LOWER DALLAS HWY, DALLAS, NC 28034
(704) 922-9808
(704) 922-8213

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1826
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
093JK
BLUE CROSS OF NC
NC
01
802972
PARTNERS MEDICARE CHOICE
NC
05
89093JK
NC
01
B9146
MEDCOST
NC
Enumeration date
06/13/2005
Last updated
03/12/2008
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