NPI | 1174647010 |
---|---|
Doing Business As | BAKER FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | KIMBERLY A. MACK Partner 480-231-7020 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-03-18 |
Last Update Date | 2020-08-22 |