P Hyun Bae Dental Corporation
Dentist, General Practice in Los Angeles, CA. Organization (NPI-2).
NPI number1982102034
StatusActive
Last updated in NPPESJan 24, 2018
Details
- NPI
- 1982102034
- Entity type
- Organization (NPI-2)
- Legal business name
- P Hyun Bae Dental Corporation
- Organization subpart
- No
- Enumeration date
- Jan 24, 2018
- Last updated
- Jan 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 50034 | CA | Yes |
Other names
- Dr. Bae'S Dental Playground (Doing Business As)
Practice location
1637 E 103rd StLos Angeles, CA 90002-2923
Phone 323-563-3322
Mailing address
425 S Irving BlvdLos Angeles, CA 90020-4725
Phone 310-738-8020
Authorized official
Peter Hyun Bae
Owner/President
3107388020
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