Organization
DENTAL SPECIALTY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BAKER (MEMBER)
(619) 977-1250
Entity
Organization
Contact information
Practice address
1415 BRUNDAGE LN, BAKERSFIELD, CA 93304-3114
(661) 323-0076
Mailing address
1477 SAN PABLO DR, SAN MARCOS, CA 92078-4701
(619) 977-1250
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
52768
CA
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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