Organization
BAKER-WETTSTEIN ENTERPRISES L.L.C.
Active
Other names
Impressions Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIGHAM BAKER DDS (DENTSIT)
(480) 814-8888
Entity
Organization
Contact information
Practice address
5970 S COOPER RD, SUITE1, CHANDLER, AZ 85249-5393
(480) 814-8888
(480) 814-1553
Mailing address
5970 S COOPER RD, SUITE1, CHANDLER, AZ 85249-5393
(480) 814-8888
(480) 814-1553
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
5899
AZ
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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