Individual
GARY OWEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10000 WATSON RD, ST LOUIS, MO 63126
(314) 822-3322
(314) 822-0537
Mailing address
10000 WATSON RD, ST LOUIS, MO 63126
(314) 822-3322
(314) 822-0537
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11092
MO
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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