Individual
DR. JORDAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1299 RUSSELL PKWY, WARNER ROBINS, GA 31088-5582
(478) 923-6449
Mailing address
1524 LONE OAK DR, MACON, GA 31211-1219
(478) 719-7824
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015649
GA
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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