Individual
DR. ANDREA MICHELLE BAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3636 ROSEWOOD AVE, LOS ANGELES, CA 90066
(817) 966-2948
(817) 966-2948
Mailing address
8035 W MANCHESTER AVE STE B, PLAYA DEL REY, CA 90293-7985
(310) 822-8118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
101377
CA
Other
Enumeration date
06/21/2017
Last updated
09/04/2018
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