Individual
DR. NITHYA NAGARAJ BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2060 E PARIS AVE SE STE 210, GRAND RAPIDS, MI 49546-6113
(440) 836-2188
Mailing address
2060 E PARIS AVE SE STE 210, GRAND RAPIDS, MI 49546-6113
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021226
MI
122300000X
Dentist
30.024298
OH
122300000X
Dentist
D11249
OR
Other
Enumeration date
07/31/2014
Last updated
06/17/2024
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