Dr. Brooke Marie Baker, D.D.S.
Dentist, General Practice in Fargo, ND. Individual provider (NPI-1).
NPI number1366450587
StatusActive
Last updated in NPPESOct 5, 2015
Details
- NPI
- 1366450587
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brooke Marie Baker
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 3, 2006
- Last updated
- Oct 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 1988 | ND | Yes |
Practice location
1790 32nd Ave SFargo, ND 58103-5942
Phone 701-232-0774 · Fax 701-232-1158
Mailing address
10212 Ida Oaks RdPelican Rapids, MN 56572-9317
Phone 218-532-2697
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