Individual provider · Type 1 NPI
Michael Yoonbum Bae, DDS
Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA
NPI number
1790995330
Active
Practice location
866 S Westmoreland Ave, Suite 102
Los Angeles, CA 90005-1502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 27952 (CA) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 27952 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1790995330
Michael Yoonbum Bae, DDS's National Provider Identifier is 1790995330, issued on May 23, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 27, 2019.