Bruce B. Baker Dmd Apdc | |
13422-201 Pomerado Rd. Poway CA 92064 | |
(858) 679-6660 | |
(858) 679-8580 |
Full Name | Bruce B. Baker Dmd Apdc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 13422-201 Pomerado Rd., Poway, California |
Authorized Official Name and Position | Bruce Bakhshi Baker (OWNER) |
Authorized Official Contact | 8586796660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bruce B. Baker Dmd Apdc P.o. Box 989 13422-201 Pomerado Rd. Poway CA 92064 Ph: (858) 679-6660 | Bruce B. Baker Dmd Apdc 13422-201 Pomerado Rd. Poway CA 92064 Ph: (858) 679-6660 |
NPI Number | 1073935912 |
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Provider Enumeration Date | 01/13/2014 |
Last Update Date | 01/13/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073935912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 32267 (California) | Primary |
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