Individual
ROXANN BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
20905 GREENFIELD RD, SUITE 208, SOUTHFIELD, MI 48075-5360
(248) 569-3490
(248) 569-3471
Mailing address
20905 GREENFIELD RD, SUITE 208, SOUTHFIELD, MI 48075-5360
(248) 569-3490
(248) 569-3471
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13077
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1759109
—
MI
Enumeration date
05/06/2006
Last updated
07/08/2007
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