Organization
BAKER WETTSTEIN ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIGHAM BAKER DDS (OWNER)
(480) 814-8888
Entity
Organization
Contact information
Practice address
5970 S COOPER RD, STE. 1, CHANDLER, AZ 85249-5393
(480) 814-8888
Mailing address
5970 S COOPER RD, STE. 1, CHANDLER, AZ 85249-5393
(480) 814-8888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5899
AZ
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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