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DR. SUSAN J. BAKER D.M.D.
Periodontics >> Dentist >> Dental ProvidersRegistrant NPI Number: 1457456956
Individual Registrant:DR. SUSAN J. BAKER D.M.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
5635 PEACHTREE PKWY SUITE 200 NORCROSS, GA 30092-2812 US
Tel: 770-448-3333 Fax: 770-409-9422
Tel: 770-448-3333 Fax: 770-409-9422
Contact information for business:
605 CHAMPIONS DR MCDONOUGH, GA 30253-4284 US
Tel: 770-507-7469 Fax: 770-409-9422
Tel: 770-507-7469 Fax: 770-409-9422
Registration Information:
NPI: 1457456956
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223P0300X | Dental Providers Dentist Periodontics | GA | 01-02-05 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
