| Baum Dental, Pc | |
|
20720 Plymouth Rd Detroit MI 48228-1275 | |
| (313) 342-1997 | |
| (313) 416-1405 |
| Full Name | Baum Dental, Pc |
|---|---|
| Speciality | Dentist |
| Location | 20720 Plymouth Rd, Detroit, Michigan |
| Authorized Official Name and Position | Donna Marie Kirchner (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5868734483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baum Dental, Pc 20720 Plymouth Rd Detroit MI 48228-1275 Ph: (313) 342-1997 | Baum Dental, Pc 20720 Plymouth Rd Detroit MI 48228-1275 Ph: (313) 342-1997 |
| NPI Number | 1326381112 |
|---|---|
| Provider Enumeration Date | 04/01/2013 |
| Last Update Date | 06/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326381112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901010299 (Michigan) | Primary |
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