Bakaen, Karmen J, DDS A Prof Corp.
Clinic/Center, Dental in Santa Ana, CA. Organization (NPI-2).
NPI number1962692012
StatusActive
Last updated in NPPESJul 25, 2007
Details
- NPI
- 1962692012
- Entity type
- Organization (NPI-2)
- Legal business name
- Bakaen, Karmen J, DDS A Prof Corp.
- Organization subpart
- No
- Enumeration date
- Jul 25, 2007
- Last updated
- Jul 25, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 46360 | CA | Yes |
Practice location
1710 E 17th St Ste ESanta Ana, CA 92705-8622
Phone 714-564-9000 · Fax 714-564-9024
Mailing address
1710 E 17th St Ste ESanta Ana, CA 92705-8622
Phone 714-564-9000 · Fax 714-564-9024
Authorized official
Karmen Bakaen
President
7145649000
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