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Organization
JINNAM BAEK DENTAL PRACTICE INC
Active
Organization
JINNAM BAEK DENTAL PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIN NAM BAEK (PRESIDENT)
(951) 279-2021
Entity
Organization
Contact information
Practice address
13120 PALM DR, DESERT HOT SPRINGS, CA 92240-5902
(951) 550-1545
Mailing address
13120 PALM DR, DESERT HOT SPRINGS, CA 92240-5902
(951) 550-1545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
07/28/2021
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