Indiana
Professional Licensing Agency
Matthew John Baker
Controlled Substance Registration - Dentist
License number
12010854B
Date granted
07/12/2006
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Decatur Dental Services, 6496 N. Piqua Rd., Decatur IN 46733
indianalicensing.org
ID 5089415
LAST UPDATED 2024-03-23 22:15:37 UTC
LAST UPDATED 2024-03-23 22:15:37 UTC
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