Individual
JOHN PATRICK BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1170 LEXAN AVE, SUITE 187, NORFOLK, VA 23508-1237
(757) 440-1360
(757) 440-1361
Mailing address
1170 LEXAN AVE, SUITE 187, NORFOLK, VA 23508-1237
(757) 440-1360
(757) 440-1361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401-006109
VA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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