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Contact Information

M L BAKER, DDS
890 RIVER DR
FORT BRAGG, CA95437
 Phone: 707-964-0255
 Fax: 707-964-5847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for M L BAKER · (Male)

NPI # 1043455827
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/09/2008
Last updated 12/09/2008 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 22041
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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