Individual
DR. GARY BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8540 S SEPULVEDA BLVD STE 1012, LOS ANGELES, CA 90045-3819
(310) 670-1411
(310) 670-1968
Mailing address
8540 S SEPULVEDA BLVD STE 1012, LOS ANGELES, CA 90045-3819
(310) 670-1411
(310) 670-1968
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
229557
CA
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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