NPI 1962729806

Baker-Wettstein Enterprises L.L.C.

Organisation Preferred Provider Organization Chandler, AZ

Practice location

Address: 5970 S Cooper Rd Suite1, Chandler, AZ 85249-5393
Phone: (480) 814-8888
Fax: (480) 814-1553

Authorised official

Name: Brigham Baker
Title: Dentsit
Phone: (480) 814-8888

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 5899 (AZ)

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Registry record

NPI: 1962729806
Entity type: Organization
NPI issued: 3 May 2010
Record last updated: 3 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.