| NPI | 1073935912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE BAKHSHI BAKER Owner 858-679-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 32267) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |