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DR. JASON EDWARD BAKER D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1457473803

Individual Registrant:
DR. JASON EDWARD BAKER D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
77 S SHORE DR  MIRAMAR BEACH, FL 32550-5822 US
Tel: 850-650-2070  Fax: 850-650-2073

Contact information for business:
77 S SHORE DR  MIRAMAR BEACH, FL 32550-5822 US
Tel: 850-650-2070  Fax: 850-650-2073

Registration Information:
NPI: 1457473803
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
FL17784

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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