Individual
DR. RANDALL LEE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
413 BLEVINS HOLW, OLIVE HILL, KY 41164-8287
(606) 286-5980
Mailing address
413 BLEVINS HOLW, OLIVE HILL, KY 41164-8287
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4986
KY
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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