| Bae Lim Dental Group | |
|
3631 W 3rd St Los Angeles CA 90020-2007 | |
| (213) 251-1059 | |
| (213) 251-1056 |
| Full Name | Bae Lim Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3631 W 3rd St, Los Angeles, California |
| Authorized Official Name and Position | Daniel Y Lim (OWNER/DENTIST) |
| Authorized Official Contact | 2132511059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bae Lim Dental Group 3631 W 3rd St Los Angeles CA 90020-2007 Ph: (213) 251-1059 | Bae Lim Dental Group 3631 W 3rd St Los Angeles CA 90020-2007 Ph: (213) 251-1059 |
| NPI Number | 1861084964 |
|---|---|
| Provider Enumeration Date | 02/09/2021 |
| Last Update Date | 02/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861084964 | NPI | - | NPPES |
| 50034 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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