Dr. MARK ENSIO BAKER -- d.d.s.
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1184798811- Provider Type
- Individual Provider (NPI-1)
- Credentials
- d.d.s.
- Status
- Active
Contact & Location
- Address
- 165 N 14TH AVE, POCATELLO, ID, 832014146
- Phone
- (208) 232-2807
- Fax
- (208) 232-8118
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: ID #d3016