DR. Jennifer Elizabeth Baisden, D.D.S

NPI #1093151615 in Shawnee, Oklahoma

Provider Information

NPI Number: 1093151615
Entity Type: Individual
Name: DR. Jennifer Elizabeth Baisden, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: May 22, 2013
Last Updated: May 22, 2013

Practice Location

Address: 19 W INTERSTATE PKWY
City: Shawnee
State: Oklahoma
ZIP Code: 74804-1331
Phone: (405) 788-4701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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