Individual
MS. POLLY FAIR BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-1000
Mailing address
6 SPRING POINT CIR, LITTLE ROCK, AR 72210-1711
(501) 225-4784
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0493
AR
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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