Individual
DR. BRYAN SCOTT BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
107 E MOUNTAIN ST, 107 E MOUNTAIN STREET, KINGS MOUNTAIN, NC 28086-3442
(704) 484-2347
Mailing address
PO BOX 827, 107 E MOUNTAIN STREET, KINGS MOUNTAIN, NC 28086-0827
(704) 484-2347
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NC5693
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990331
—
NC
Enumeration date
07/19/2006
Last updated
07/08/2007
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