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Provider Information for 1902927908

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DENNIS BAIK D.D.S.

Gender: MALE

Individual NPI: 1902927908

Calendar   Last Updated:  2012-07-17
  Certification Date: 

Details

Name Value
NPI 1902927908
Enumeration Date 2007-04-03
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 827 BLOSSOM HILL RD SUITE E-4
SAN JOSE, CA 95123-2701
United States

Phone: 408-226-5560 | Fax: 408-226-1516
View Map External Link
Primary Practice Address 827 BLOSSOM HILL RD SUITE E-4
SAN JOSE, CA 95123-2701
United States

Phone: 408-226-5560 | Fax: 408-226-1516
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 45946