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NPI Code Detail

MEDICARE: STEVEN R BAKER DDS

MEDICARE:   STEVEN R BAKER  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry26335CA

General Provider Information

NPI Number : 1558468520
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN R BAKER DDS
Provider Business Mailing Address
First Line : 940 SYLVA LN STE K2
Second Line :
City : SONORA
State : CA
Zip : 95370-5969
Country : US
Telephone Number : 209-532-1091
Fax Number : 209-533-3515
Provider Business Practice Location Address
First Line : 940 SYLVA LN STE K2
Second Line :
City : SONORA
State : CA
Zip : 95370-5969
Country : US
Telephone Number : 209-532-1091
Fax Number : 209-533-3515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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Directions to “ STEVEN R BAKER DDS” Practice Location

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