Individual
DR. JEFFERY BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5700 ARNOLD ST, TINKER AFB, OK 73145-8105
(405) 736-2000
Mailing address
3525 HUNTSMAN CT, EDMOND, OK 73003-3534
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5594
OR
Other
Enumeration date
11/04/2005
Last updated
07/08/2007
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