DR. Phillp M. Baca

NPI #1912051772 in Apple Valley, California

Provider Information

NPI Number
1912051772
Entity Type
Individual
Name
DR. Phillp M. Baca
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
16127 KASOTA RD
Address 2
SUITE 106
ZIP Code
92307-2204
Phone
(760) 946-1700

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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