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Individual

MICHAEL WILLIAM BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14TH ST., OCEANSIDE, CA 92058
(760) 725-5879
Mailing address
14TH ST., OCEANSIDE, CA 92058
(760) 725-5879

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
CA

Other

Enumeration date
10/02/2020
Last updated
10/02/2020
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