Ksenia G. Baxter, DMD

NPI #1467749283 in Bethel, Connecticut

Provider Information

NPI Number: 1467749283
Entity Type: Individual
Name: Ksenia G. Baxter, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DMD
Enumeration Date: Jun 30, 2011
Last Updated: May 23, 2018

Practice Location

Address: 2 STONY HILL RD
City: Bethel
State: Connecticut
ZIP Code: 06801
Phone: (203) 792-2263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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Organizations

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