Individual
JULIA J BAEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5680 W FLAMINGO RD, A, LAS VEGAS, NV 89103-0169
(702) 876-3222
(702) 876-4422
Mailing address
5680 W FLAMINGO RD, STE A, LAS VEGAS, NV 89103-0169
(702) 876-3222
(702) 876-4422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6529
NV
1223P0221X
Pediatric Dentistry
Primary
S6-175
NV
Other
Enumeration date
07/17/2014
Last updated
02/21/2022
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