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Organization

CRAIG BAKER DMD PL

Active
Parent organization
CRAIG BAKER DMD PL
Other names
Da Vinci Cosmetic and Family Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
CRAIG BAKER DMD PL
Authorized official
CRAIG BAKER DMD (CEO)
(813) 451-9658
Entity
Organization

Contact information

Practice address
13501 ICOT BLVD, SUITE 101, CLEARWATER, FL 33760-3729
(727) 531-4462
(727) 210-1754
Mailing address
13501 ICOT BLVD, SUITE 101, CLEARWATER, FL 33760-3729
(727) 531-4462
(727) 210-1754

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 17163
FL

Other

Enumeration date
04/02/2008
Last updated
02/24/2009
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