| Bae Lim Dental Corporation | |
|
3631 W 3rd St Los Angeles CA 90020-2007 | |
| (310) 386-1799 | |
| Not Available |
| Full Name | Bae Lim Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 3631 W 3rd St, Los Angeles, California |
| Authorized Official Name and Position | Daniel Lim (OWNER) |
| Authorized Official Contact | 2132511059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bae Lim Dental Corporation 3631 W 3rd St Los Angeles CA 90020-2007 Ph: (310) 386-1799 | Bae Lim Dental Corporation 3631 W 3rd St Los Angeles CA 90020-2007 Ph: (310) 386-1799 |
| NPI Number | 1659820637 |
|---|---|
| Provider Enumeration Date | 10/01/2016 |
| Last Update Date | 10/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659820637 | NPI | - | NPPES |
| 1275833204 | Medicaid | CA | |
| 1982772240 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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