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DR. SUSAN J. BAKER D.M.D.

Periodontics >> Dentist >> Dental Providers

Registrant NPI Number: 1457456956

Individual Registrant:
DR. SUSAN J. BAKER D.M.D.
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

Contact information for business:
605 CHAMPIONS DR  MCDONOUGH, GA 30253-4284 US
Tel: 770-507-7469  Fax: 770-409-9422

Registration Information:
NPI: 1457456956
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0300XDental Providers
Dentist
Periodontics
GA01-02-05

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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