Individual
CHRISTINA BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3605 HOSPITAL RD, ATWATER, CA 95301
(818) 515-9447
Mailing address
18960 VENTURA BLVD # 74, TARZANA, CA 91356-3224
(818) 515-9447
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
100309
CA
Other
Enumeration date
07/02/2014
Last updated
10/23/2018
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