| Ryan B Baker Dmd A Professional Dental Corporation | |
|
27180 Newport Rd Ste 3 Menifee CA 92584-7389 | |
| (951) 672-1666 | |
| (855) 895-3627 |
| Full Name | Ryan B Baker Dmd A Professional Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 27180 Newport Rd Ste 3, Menifee, California |
| Authorized Official Name and Position | Ryan B Baker (OWNDER) |
| Authorized Official Contact | 8584058434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan B Baker Dmd A Professional Dental Corporation 14591 Newport Ave Ste 108 Tustin CA 92780-6026 Ph: (949) 771-7381 | Ryan B Baker Dmd A Professional Dental Corporation 27180 Newport Rd Ste 3 Menifee CA 92584-7389 Ph: (951) 672-1666 |
| NPI Number | 1548891427 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548891427 | NPI | - | NPPES |
| 1922465053 | Other | CA | NPI |
| 64066 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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