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Organization
P.H. BAE, DDS,INC.
Active
Organization
P.H. BAE, DDS,INC.
Active
Other names
Dr. Bae's Dental Playground
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER HYUN BAE (OWNER/ PRESIDENT)
(323) 291-3900
Entity
Organization
Contact information
Practice address
3651 CRENSHAW BLVD, LOS ANGELES, CA 90016-4849
(323) 291-3900
Mailing address
3651 CRENSHAW BLVD, LOS ANGELES, CA 90016-4849
(323) 291-3900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50034
CA
Other
Enumeration date
09/20/2010
Last updated
10/02/2010
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