Most Relevant Information
Provider Data
| NPI Number: | 1003817271 |
| Provider Name: | SUSAN MICHELLE BAKER DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 9648 |
Most Important Dates
| Enumeration Date: | 08/09/2005 |
| Last Updated: | 03/22/2023 |
Provider Practice Location
1215 E SNOW CANYON PKWY UNIT 402
IVINS
UT
847386818
Practice Location Phone/Fax
| Phone: | 4353410028 |
| Fax: | 4357039960 |
Provider Mailing Location
1215 E SNOW CANYON PKWY UNIT 402
IVINS
UT
847386818
Provider Mailing Phone/Fax
| Phone: | 4353410028 |
| Fax: | 4356564623 |