Organization
BAKER DENTAL STUDIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NITHYA BAKER DDS (OWNER DOCTOR)
(616) 949-7290
Entity
Organization
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
(616) 949-7290
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
04/21/2024
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