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Organization

ERIKA J BAKER DSO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VALERIE HAMILTON (DIRECTOR OF CONTRACTING)
(315) 454-6000
Entity
Organization

Contact information

Practice address
7510 GARNERS FERRY RD STE A, COLUMBIA, SC 29209-5801
(803) 234-5580
(803) 776-0479
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
(800) 277-3633

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/21/2024
Last updated
06/05/2024
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