Individual
RYAN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27180 NEWPORT RD STE 3, MENIFEE, CA 92584-7389
(951) 672-1666
Mailing address
14591 NEWPORT AVE STE 108, TUSTIN, CA 92780-6026
(949) 771-7234
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
64066
CA
Other
Enumeration date
01/20/2016
Last updated
01/17/2022
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