| Bruce A. Baker, D.d.s., P.a. | |
|
1405 78th St Victoria MN 55386-9723 | |
| (952) 443-2994 | |
| (952) 443-2918 |
| Full Name | Bruce A. Baker, D.d.s., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1405 78th St, Victoria, Minnesota |
| Authorized Official Name and Position | Bruce Arthur Baker (PRESIDENT) |
| Authorized Official Contact | 9524432994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce A. Baker, D.d.s., P.a. Po Box 2 Victoria MN 55386-0002 Ph: (952) 443-2994 | Bruce A. Baker, D.d.s., P.a. 1405 78th St Victoria MN 55386-9723 Ph: (952) 443-2994 |
| NPI Number | 1124207899 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 10/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124207899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9735 (Minnesota) | Primary |
Midwest Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 78th St, Victoria, MN 55386 Phone: 952-443-2994 Fax: 952-443-2918 |