Individual
ALLEN RONALD BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1240 TRUMAN ST, SUITE 200, SAN FERNANDO, CA 91340
(818) 365-7107
(818) 365-0092
Mailing address
1240 TRUMAN ST, SUITE 200, SAN FERNANDO, CA 91340
(818) 365-7107
(818) 365-0092
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20609
CA
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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