William R Baker, D.M.D Valid NPI
Individual provider · Oral and Maxillofacial Surgery (Dentist) · Brainerd, MN
- NPI
- 1023098993
- Type
- Individual (Type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223S0112X
- License number
- D10467 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-01-18
- Last updated
- 2011-01-13
Practice location
1903 S 6th St
Brainerd, MN 56401-4599
(218) 829-1728