Individual
MICHAEL YOONBUM BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
866 S WESTMORELAND AVE, SUITE 102, LOS ANGELES, CA 90005-1502
(213) 352-1366
Mailing address
866 S WESTMORELAND AVE, SUITE 102, LOS ANGELES, CA 90005-1502
(213) 352-1366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
27952
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
27952
CA
Other
Enumeration date
05/23/2007
Last updated
08/27/2019
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