Individual
CHEZDAN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7515 QUAKER AVE STE 300, LUBBOCK, TX 79424-5316
(806) 853-7934
Mailing address
7515 QUAKER AVE STE 300, LUBBOCK, TX 79424-5316
(806) 853-7934
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401415671
VA
1223E0200X
Endodontics
38759
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2017
Last updated
06/10/2024
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