DR. Trace Ryan Baxter, DMD

NPI #1265729859 in Kahului, Hawaii

Provider Information

NPI Number: 1265729859
Entity Type: Individual
Name: DR. Trace Ryan Baxter, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 1, 2011
Last Updated: Jun 10, 2016

Practice Location

Address: 33 LONO AVE SUITE 370
City: Kahului
State: Hawaii
ZIP Code: 96732
Phone: (808) 871-6337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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