Provider Demographics
NPI:1225146590
Name:BAKER, LAILA SALEH (DDS MSD)
Entity Type:Individual
Prefix:MRS
First Name:LAILA
Middle Name:SALEH
Last Name:BAKER
Suffix:
Gender:F
Credentials:DDS MSD
Other - Prefix:
Other - First Name:LAILA
Other - Middle Name:
Other - Last Name:AHMED SALEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8890 CAL CENTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826
Mailing Address - Country:US
Mailing Address - Phone:916-922-5000
Mailing Address - Fax:916-646-9000
Practice Address - Street 1:7141 FAIR OAKS BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95608
Practice Address - Country:US
Practice Address - Phone:916-563-6011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA329901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD32990Medicare ID - Type UnspecifiedDENTAL BOARD