Organization · Type 2 NPI

Susan Bae, Dds, Ms, Inc.

Orthodontics and Dentofacial Orthopedics Dentistry · Cerritos, CA

NPI number 1780179176 Active

Practice location

10945 South St Ste 202A
Cerritos, CA 90703-5366

Mailing address

325 N Larchmont Blvd Ste 127
Los Angeles, CA 90004-3011

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X100794 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1780179176

Susan Bae, Dds, Ms, Inc.'s National Provider Identifier is 1780179176, issued on Jun 27, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Cerritos, CA. The record was last updated on Jul 13, 2025.