DR. Thomas Bae, D.D.S.

NPI #1467646547 in Walnut, California

Provider Information

NPI Number
1467646547
Entity Type
Individual
Name
DR. Thomas Bae, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Aug 30, 2007
Last Updated
Nov 9, 2007

Practice Location

Address
355 SOUTH LEMON AVENUE
Address 2
SUITE P
City
Walnut
ZIP Code
91789
Phone
(909) 598-9097

Specialties & Taxonomy Codes

Specialty
Dentist

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