Individual
DR. BRADLEY JOEL BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10921 WILSHIRE BLVD, 804, LOS ANGELES, CA 90024-3906
(310) 208-5678
(310) 208-1968
Mailing address
10921 WILSHIRE BLVD, 804, LOS ANGELES, CA 90024-3906
(310) 208-5678
(310) 208-1968
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
27953
CA
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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