Phillp M. Baca

General Practice Dentistry · Apple Valley, CA

Individual Active NPI

NPI number 1912051772

Practice location

16127 Kasota Rd
Suite 106
Apple Valley, CA 92307-2204
Phone
(760) 946-1700
Fax
(760) 946-2414

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NPI record

NPI
1912051772
Entity type
Individual (Type 1)
Enumeration date
January 22, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D32691 CA

About Phillp Baca

Phillp M. Baca is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 16127 Kasota Rd, Suite 106, Apple Valley, CA 92307-2204. The NPI number 1912051772 was assigned on January 22, 2007 and the record was last updated on July 8, 2007.

Phillp Baca lists a license in the registry: #D32691 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Phillp M. Baca?

The NPI number is 1912051772.

What is the phone number of Phillp Baca?

The phone number listed for the practice location is (760) 946-1700.

Where is Phillp Baca located?

16127 Kasota Rd, Suite 106, Apple Valley, CA 92307-2204.

What is the taxonomy code for Phillp Baca?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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