# DENTAL SPECIALTY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629385380
- **Authorized official:** JOHN BAKER (MEMBER)
- **Authorized official phone:** (619) 977-1250

## Contact information

- **Practice address:** 1415 BRUNDAGE LN, BAKERSFIELD, CA 93304-3114
- **Practice address phone:** (661) 323-0076
- **Mailing address:** 1477 SAN PABLO DR, SAN MARCOS, CA 92078-4701
- **Mailing address phone:** (619) 977-1250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 52768 | CA | Yes |

## Other

- **Enumeration date:** 09/01/2010
- **Last updated:** 09/01/2010