Individual
DR. BRUCE ARTHUR BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
415 N 2ND ST, SUITE 2 D, TOWER, MN 55790-0417
(218) 753-2405
(218) 361-3277
Mailing address
415 N 2ND ST, SUITE 2 D, TOWER, MN 55790-0417
(218) 753-2405
(218) 361-3277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9735
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
958520600
—
MN
Enumeration date
01/02/2007
Last updated
03/19/2014
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