| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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