Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 45802 | CA |
NPI | 1033626965 |
---|---|
Provider Name | Baker Al Akad |
First Address | Bakersfield, CA 93312-5928 |
Second Address | Bakersfield, CA 93312-5928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2017 |
Last Update Date | 30/12/2017 |