Individual
ANDREW BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1321 S ELISEO DR UNIT 270, GREENBRAE, CA 94904-2024
(415) 461-8735
Mailing address
1321 S ELISEO DR UNIT 270, GREENBRAE, CA 94904-2024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS110213
CA
1223G0001X
General Practice Dentistry
DEN.00203773
CO
Other
Enumeration date
09/12/2018
Last updated
10/23/2024
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