Organization
TOTALLY KIDS DENTAL P.C.
Active
Other names
Total Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN B. BAKER DMD, MPH, MS (OWNER)
(858) 405-8434
Entity
Organization
Contact information
Practice address
602 W UNION HILLS DR STE 9, PHOENIX, AZ 85027-6629
(858) 405-8434
Mailing address
602 W UNION HILLS DR STE 9, PHOENIX, AZ 85027-6629
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D010661
LICENSE
AZ
Enumeration date
08/18/2020
Last updated
01/09/2023
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