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JOSHUA BAEK DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1174176598

Individual Registrant:
 JOSHUA  BAEK DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
11299 SAN PABLO AVE  EL CERRITO, CA 94530-2184 US
Tel: 510-778-7437  Fax: --

Contact information for business:
18410 SATICOY ST APT 10  RESEDA, CA 91335-3258 US
Tel: --  Fax: --

Registration Information:
NPI: 1174176598
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CADDS103985

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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