DR. Dwight Douglas Baker, D.D.S., M.S.

NPI #1053496083 in Idaho Falls, Idaho

Provider Information

NPI Number
1053496083
Entity Type
Individual
Name
DR. Dwight Douglas Baker, D.D.S., M.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
D.D.S., M.S.
Enumeration Date
Oct 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1900 JOHN ADAMS PKWY
State
Idaho
ZIP Code
83401-4366
Phone
(208) 524-0644

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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