Organization
TOTALLY KIDS DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN B. BAKER DMD, MPH, MS (OWNER)
(602) 610-5088
Entity
Organization
Contact information
Practice address
3825 N 75TH AVE STE 101&102, PHOENIX, AZ 85033-3700
(602) 610-5088
(602) 806-8910
Mailing address
3825 N 75TH AVE STE 101&102, PHOENIX, AZ 85033-3700
(602) 610-5088
(602) 806-8910
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D010661
LICENSE
—
Enumeration date
01/10/2023
Last updated
01/10/2023
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