Individual
CAPPIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20930 BONITA ST, SUITE X, CARSON, CA 90746-3680
(310) 523-2161
Mailing address
20930 BONITA ST, SUITE X, CARSON, CA 90746-3680
(310) 523-2161
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
32531
CA
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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