Charles A Baker, DDS Valid NPI

Individual provider · Endodontics · Coram, NY

NPI

1912078866

Type

Individual (Type 1)

Primary specialty

Endodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223E0200X

License number

036434 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-13

Last updated

2007-07-08