| NPI | 1912469883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL YOONBUM BAE President 213-352-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |