Organization Name: | BRUCE B. BAKER DMD APDC |
NPI Number: | 1073935912 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE BAKHSHI BAKER (OWNER) |
Mailing Address: | 13422-201 Pomerado Rd. Poway |
State: | CA US |
Postal Code: | 92064 |
Phone Number: | 8586796660 |
Fax Number: | 8586798580 |
NPI Enumeration Date: | 01/13/2014 |
NPI Last Update Date: | 01/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 32267 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |