Individual
DR. NATALEE GORDON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9590 MEDLOCK BRIDGE RD, SUITE D, JOHNS CREEK, GA 30097
(770) 495-9004
Mailing address
9590 MEDLOCK BRIDGE RD, SUITE D, JOHNS CREEK, GA 30097
(770) 495-9004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122808
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN122808
GA DENTAL LICENSE
GA
Enumeration date
07/25/2022
Last updated
07/25/2022
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