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Organization
PETER H. BAE D.D.S DENTAL CORP.
Active
Organization
PETER H. BAE D.D.S DENTAL CORP.
Active
Other names
Dental Playground
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER HYUN BAE D.D. S (OWNER/ DENTIST)
(323) 291-3900
Entity
Organization
Contact information
Practice address
3651 CRENSHAW BLVD, LOS ANGELES, CA 90016-4849
(323) 291-3900
(323) 846-1158
Mailing address
3651 CRENSHAW BLVD, LOS ANGELES, CA 90016-4849
(323) 291-3900
(323) 846-1158
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50034
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810623008
DENTI-CAL
CA
Enumeration date
06/29/2009
Last updated
06/29/2009
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