Individual
STANLEY DALE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
201 E ORANGEBURG AVE, STE A, MODESTO, CA 95350-5355
(209) 527-5050
(209) 527-0659
Mailing address
201 E ORANGEBURG AVE, STE A, MODESTO, CA 95350-5355
(209) 527-5050
(209) 527-0659
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
32447
CA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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