Organization
BAUM ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA SARAVIA-NELSON (MANAGER)
(310) 670-1411
Entity
Organization
Contact information
Practice address
8540 S SEPULVEDA BLVD STE 1012, LOS ANGELES, CA 90045-3819
(310) 670-1411
Mailing address
8540 S SEPULVEDA BLVD STE 1012, LOS ANGELES, CA 90045-3819
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
27953
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
29557
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
44400
CA
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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