Organization
YOONBUM BAE DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL YOONBUM BAE DDS (PRESIDENT)
(213) 352-1366
Entity
Organization
Contact information
Practice address
866 S WESTMORELAND AVE STE 102, LOS ANGELES, CA 90005-2372
(213) 352-1366
Mailing address
866 S WESTMORELAND AVE STE 102, LOS ANGELES, CA 90005-2372
(213) 352-1366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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