Organization
BAKER AND ASSOCIATES DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY M. BAKER D.D.S. (OWNER)
(770) 593-3565
Entity
Organization
Contact information
Practice address
3564 PANOLA RD, LITHONIA, GA 30038-2731
(770) 593-3565
(770) 593-3565
Mailing address
3564 PANOLA RD, LITHONIA, GA 30038-2731
(770) 593-3565
(770) 593-3565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012129
GA
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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