Organization
RED ROSE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY SUE BAKER DDS (OWNER DENTIST)
(216) 501-1090
Entity
Organization
Contact information
Practice address
12780 W NORTH AVE STE A, BROOKFIELD, WI 53005-4601
(262) 860-1500
Mailing address
12780 W NORTH AVE STE A, BROOKFIELD, WI 53005-4601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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