| Peter H. Bae Dds Dental Corporation | |
|
556 W Badillo St Covina CA 91722-3762 | |
| (626) 332-4063 | |
| Not Available |
| Full Name | Peter H. Bae Dds Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 556 W Badillo St, Covina, California |
| Authorized Official Name and Position | Peter Hyun Bae (OWNER) |
| Authorized Official Contact | 3106778000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter H. Bae Dds Dental Corporation 556 W Badillo St Covina CA 91722-3762 Ph: (310) 677-8000 | Peter H. Bae Dds Dental Corporation 556 W Badillo St Covina CA 91722-3762 Ph: (626) 332-4063 |
| NPI Number | 1740495290 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740495290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50034 (California) | Primary |
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