Organization
BAE LIM DENTAL GROUP
Active
Other names
Bae Lim Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL Y LIM DDS (OWNER/DENTIST)
(213) 251-1059
Entity
Organization
Contact information
Practice address
3631 W 3RD ST, LOS ANGELES, CA 90020-2007
(213) 251-1059
(213) 251-1056
Mailing address
3631 W 3RD ST, LOS ANGELES, CA 90020-2007
(213) 251-1059
(213) 251-1056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50034
—
CA
Enumeration date
02/09/2021
Last updated
02/09/2021
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