| Norma A Baca Dds,inc | |
|
1919 Beverly Blvd Suite A Los Angeles CA 90057-2401 | |
| (231) 484-2165 | |
| (213) 484-0162 |
| Full Name | Norma A Baca Dds,inc |
|---|---|
| Speciality | Dentist |
| Location | 1919 Beverly Blvd, Los Angeles, California |
| Authorized Official Name and Position | Norma Amparo Baca (OWNER) |
| Authorized Official Contact | 2134842165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norma A Baca Dds,inc 1919 Beverly Blvd Suite A Los Angeles CA 90057-2401 Ph: (231) 484-2165 | Norma A Baca Dds,inc 1919 Beverly Blvd Suite A Los Angeles CA 90057-2401 Ph: (231) 484-2165 |
| NPI Number | 1487055943 |
|---|---|
| Provider Enumeration Date | 09/15/2014 |
| Last Update Date | 09/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487055943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 27866 (California) | Primary |
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