Individual
BRAWN GARY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
NAVAL MEDICAL CENTER, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547
(910) 451-2208
Mailing address
COMMANDING OFFICER NAVAL MEDICAL, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14223266-9926
UT
122300000X
Dentist
Primary
14517
NC
Other
Enumeration date
05/09/2025
Last updated
01/15/2026
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