Individual
DR. KATIE LANDIS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2563 WARD BLVD, WILSON, NC 27893-1618
(252) 237-4191
Mailing address
2563 WARD BLVD, WILSON, NC 27893-1618
(252) 237-4191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12034
NC
Other
Enumeration date
09/11/2020
Last updated
10/06/2020
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