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General NPI Number Information
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NPI Number | 1023983822
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Entity Type | Organization
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Legal Business Name | BAEK D.D.S. INC.
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 114 BIRCH ST STE D
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City | REDWOOD CITY
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State | CA
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Zip | 94062-1399
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Country | US
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Telephone | 650-999-3935
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Fax | 650-822-6224
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Provider Business Mailing Address
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Address Line | 114 BIRCH ST STE D
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City | REDWOOD CITY
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State | CA
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Zip | 94062-1399
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Country | US
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Telephone | 650-999-3935
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Fax | 650-822-6224
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Authorized Official
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Title or Position | CEO
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Name | DR. JOSHUA BAEK
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Credential | DDS
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Telephone | 818-497-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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