Individual
DR. RANDALL WILLIAM BAETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7150 DIXIE HWY, CLARKSTON, MI 48346-2068
(248) 625-4455
(248) 625-2942
Mailing address
7150 DIXIE HWY, CLARKSTON, MI 48346-2068
(248) 625-4455
(248) 625-2942
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901011004
MI
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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