| Dr. Bae's Dental Playground | |
|
1637 E 103rd St Los Angeles CA 90002-2923 | |
| (323) 563-3322 | |
| Not Available |
| Full Name | Dr. Bae's Dental Playground |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1637 E 103rd St, Los Angeles, California |
| Authorized Official Name and Position | Peter Hyun Bae (OWNER/PRESIDENT) |
| Authorized Official Contact | 3107388020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Bae's Dental Playground 425 S Irving Blvd Los Angeles CA 90020-4725 Ph: (310) 738-8020 | Dr. Bae's Dental Playground 1637 E 103rd St Los Angeles CA 90002-2923 Ph: (323) 563-3322 |
| NPI Number | 1982102034 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 01/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982102034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50034 (California) | Primary |
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