Organization
KITICHAI RUNGCHARASSAENG DDS, MS, AND HOWARD LEE, DMD, MS, INC
Active
Other names
Baseline Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
KERA UNG (MEDICAL BILLER)
(626) 460-0604
Entity
Organization
Contact information
Practice address
540 W. BASELINE RD, STE 12, CLAREMONT, CA 91711
(909) 626-8501
Mailing address
540 W. BASELINE RD, STE 12, CLAREMONT, CA 91711
(909) 626-8501
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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