Individual
DAVID BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, PHD, DDS
Contact information
Practice address
687 S VERMONT AVE, LOS ANGELES, CA 90005-1349
(213) 381-7770
Mailing address
917 S NEW HAMPSHIRE AVE UNIT 212, LOS ANGELES, CA 90006-1684
(818) 419-9983
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
102263
CA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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