Individual
DR. LISA DIANE BAIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1535 N LEROY ST STE F, FENTON, MI 48430-2791
(810) 629-5454
Mailing address
213 W ROCKWELL ST, FENTON, MI 48430-2078
(810) 444-6069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020656
MI
Other
Enumeration date
05/29/2012
Last updated
10/30/2020
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