Individual
MRS. CRYSTAL ANN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL THERAPIST/DT
Contact information
Practice address
450 SYNDICATE ST N, SAINT PAUL, MN 55104-4107
(651) 254-7373
Mailing address
450 SYNDICATE ST N, SAINT PAUL, MN 55104-4107
(651) 254-7373
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DT9
MN
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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