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Organization
P HYUN BAE DENTAL CORPORATION
Active
Organization
P HYUN BAE DENTAL CORPORATION
Active
Other names
DR. BAE'S DENTAL PLAYGROUND
Organization subpart
No
Provider details
NPI number
Authorized official
PETER HYUN BAE DDS (OWNER/PRESIDENT)
(310) 738-8020
Entity
Organization
Contact information
Practice address
1637 E 103RD ST, LOS ANGELES, CA 90002-2923
(323) 563-3322
Mailing address
425 S IRVING BLVD, LOS ANGELES, CA 90020-4725
(310) 738-8020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50034
CA
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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