| Peter H. Bae Dds. Dental Corporation | |
|
4425 S Main St Los Angeles CA 90037-2731 | |
| (323) 846-1158 | |
| Not Available |
| Full Name | Peter H. Bae Dds. Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4425 S Main St, Los Angeles, California |
| Authorized Official Name and Position | Peter Hyun Bae (OWNER) |
| Authorized Official Contact | 3238461158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter H. Bae Dds. Dental Corporation 4425 S Main St Los Angeles CA 90037-2731 Ph: (323) 846-1158 | Peter H. Bae Dds. Dental Corporation 4425 S Main St Los Angeles CA 90037-2731 Ph: (323) 846-1158 |
| NPI Number | 1083886634 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 06/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083886634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50034 (California) | Primary |
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