M. Lee Baker, DDS Valid NPI
Individual provider · Dentist · Fort Bragg, CA
- NPI
- 1043455827
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 22041 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-12-09
- Last updated
- 2008-12-09
Practice location
890 River Dr
Fort Bragg, CA 95437
(707) 964-0255