Organization
BROOKS & BAUM DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD K BAUM DDS (DENTIST)
(517) 627-4027
Entity
Organization
Contact information
Practice address
118 S BRIDGE ST, GRAND LEDGE, MI 48837
(517) 627-4027
Mailing address
118 S BRIDGE ST, GRAND LEDGE, MI 48837
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901008305
MI
122300000X
Dentist
2901015808
MI
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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