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Organization

BAE LIM DENTAL CORPORATION

Active
Parent organization
BAE LIM DENTAL CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAE LIM DENTAL CORPORATION
Authorized official
DANIEL LIM DDS (OWNER)
(213) 251-1059
Entity
Organization

Contact information

Practice address
3631 W 3RD ST, LOS ANGELES, CA 90020-2007
(310) 386-1799
Mailing address
3631 W 3RD ST, LOS ANGELES, CA 90020-2007
(310) 386-1799

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275833204
CA
05
1982772240
CA
Enumeration date
10/01/2016
Last updated
10/01/2016
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