Baetz, Randall William

Baetz, Randall William is an individual health care provider with primary practice located at 7150 Dixie Hwy , Clarkston MI 48346-2068. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Baetz, Randall William can be contacted via phone (248) 625-4455.

Contact Information

Primary practice address
7150 Dixie Hwy Clarkston MI 48346-2068
Fax: (248) 625-2942
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901011004 Michigan

Profile Details

NPI number 1174624746
LBN Legal business name Baetz, Randall William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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