MEDICARE: JAAMI BAIG DDS DENTAL CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1265105118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAAMI BAIG DDS DENTAL CORP

Provider Business Mailing Address
First Line	:	2080 CENTURY PARK E STE 1103
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90067-2014
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2080 CENTURY PARK E STE 1103
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90067-2014
Country	:	US
Telephone Number	:	310-553-2233
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAAMI BAIG
Credential	:	DDS
Telephone Number	:	248-763-9693

Provider Enumeration Date	:	07/27/2021
Last Update Date	:	07/27/2021

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