Individual
DR. BRUCE B BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13422 POMERADO RD, STE #201, POWAY, CA 92064-3548
(858) 679-6660
(858) 679-8580
Mailing address
13422 POMERADO RD, STE #201, POWAY, CA 92064-3548
(858) 679-6660
(858) 679-8580
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
32267
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000773486
UC PROVIDER NUMBER
CA
Enumeration date
01/05/2007
Last updated
07/08/2007
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