| Dorsey W.baker D.d.s. Plc | |
|
18275 N 59th Ave Ste 150 Glendale AZ 85308-1260 | |
| (602) 942-0623 | |
| (602) 942-2409 |
| Full Name | Dorsey W.baker D.d.s. Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18275 N 59th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Dorsey W Baker (MEMBER) |
| Authorized Official Contact | 6029420623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dorsey W.baker D.d.s. Plc 18275 N 59th Ave Ste 150 Glendale AZ 85308-1260 Ph: (602) 942-0623 | Dorsey W.baker D.d.s. Plc 18275 N 59th Ave Ste 150 Glendale AZ 85308-1260 Ph: (602) 942-0623 |
| NPI Number | 1700947827 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 05/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700947827 | NPI | - | NPPES |
| 3760 | Other | AZ | ARIZONA DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3760 (Arizona) | Primary |
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