Individual
EMILY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12780 W NORTH AVE STE A, BROOKFIELD, WI 53005-4601
(216) 501-1090
Mailing address
12780 W NORTH AVE STE A, BROOKFIELD, WI 53005-4601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001425-15
WI
Other
Enumeration date
08/17/2016
Last updated
01/31/2020
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