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Individual

DR. NANNI BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
11965 PELLICANO DR, EL PASO, TX 79936-6829
(915) 855-2337
Mailing address
11965 PELLICANO DR, EL PASO, TX 79936-6829
(915) 855-2337

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18733
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009327001
TX
Enumeration date
08/10/2006
Last updated
05/17/2011
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