Individual
DR. BRYAN JOSEPH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
142 SW 2ND ST, CORVALLIS, OR 97333-4716
(541) 837-1442
(541) 516-4055
Mailing address
142 SW 2ND ST, CORVALLIS, OR 97333-4716
(541) 837-1673
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11322
OR
1223G0001X
General Practice Dentistry
D11322
OR
Other
Enumeration date
08/28/2020
Last updated
01/30/2021
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