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Individual

DR. WESLEY BAKER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
231 UNION ST, BENNINGTON, VT 05201-2498
(802) 447-1648
(802) 447-2628
Mailing address
231 UNION ST, PO BOX 965, BENNINGTON, VT 05201-2498
(802) 447-1648
(802) 447-2628

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0000745
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0002349
VT
Enumeration date
07/04/2005
Last updated
07/08/2007
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