Nanette Divinagrac Baird in Los Angeles - Dentist

Nanette Divinagrac Baird - NPI 1407985112

Nanette Divinagrac Baird is a Dentist in Los Angeles, California. Nanette Divinagrac Baird practices all healthcare services and medical treatments related to Dentist. The NPI Number for Nanette Divinagrac Baird is 1407985112. The last update date is 2007-07-08.

Nanette Divinagrac Baird's current location address is 1159 Logan St, Los Angeles, California. You can contact this provider via phone number 2134838164 and fax number 2134833557. The mailing address for Nanette Divinagrac Baird is 1159 Logan St, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Nanette Divinagrac Baird
Address 1159 Logan St, Los Angeles, California
Phone Number 2134838164
Fax Number 2134833557
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1407985112
Provider Enumeration Date 2007-03-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1159 Logan St
City Los Angeles
State California (CA)
Post Code 90026
Phone Number 2134838164
Fax Number 2134833557

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 44143
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
44143 CA DENTAL BOARD OF CALIFORNI

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FAQs about Nanette Divinagrac Baird

What is the unique 10-digit identifier code issued to Nanette Divinagrac Baird by the Centers for Medicare & Medicaid Services?

The Nanette Divinagrac Baird has been assigned the NPI (National Provider Identifier) 1407985112 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Nanette Divinagrac Baird?

The Nanette Divinagrac Baird is physically situated at 1159 Logan St, in the city of Los Angeles, state of CA, with the postal code 90026.

What is Nanette Divinagrac Baird's specialized field of practice, and what is the corresponding taxonomy classification code?

The Nanette Divinagrac Baird's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date was the 1407985112 assigned to Nanette Divinagrac Baird?

The Nanette Divinagrac Baird was issued its 1407985112 on 2007-03-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Nanette Divinagrac Baird, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Nanette Divinagrac Baird, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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