Susan Bae, Dds, Ms, Inc. | |
1921 E 4th St Ontario CA 91764-2603 | |
(424) 256-3967 | |
Not Available |
Full Name | Susan Bae, Dds, Ms, Inc. |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1921 E 4th St, Ontario, California |
Authorized Official Name and Position | Susan Bae (CEO) |
Authorized Official Contact | 4242563967 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Susan Bae, Dds, Ms, Inc. 325 N Larchmont Blvd Ste 127 Los Angeles CA 90004-3011 Ph: () - | Susan Bae, Dds, Ms, Inc. 1921 E 4th St Ontario CA 91764-2603 Ph: (424) 256-3967 |
NPI Number | 1780179176 |
---|---|
Provider Enumeration Date | 06/27/2018 |
Last Update Date | 11/06/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780179176 | NPI | - | NPPES |
100794 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 100794 (California) | Primary |
Ontario Kids N Braces Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3055 S Archibald Ave Ste C-1, Ontario, CA 91761 Phone: 909-466-4611 | |
Devinderpal Singh Nagra Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 398 E Holt Blvd, Ontario, CA 91761 Phone: 909-986-8100 | |
Fresh Leaf Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 W Holt Blvd Ste 402, Ontario, CA 91762 Phone: 972-746-0881 | |
Dr.m. Zaida Carbajal Dental Practice Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 N Euclid Ave, Ontario, CA 91762 Phone: 909-235-4148 Fax: 909-235-4636 | |
Amexus Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3045 S Archibald Ave, Suite H-289, Ontario, CA 91761 Phone: 909-758-8075 | |
Amina J Chaudhry Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 W Mission Blvd Ste H, Ontario, CA 91762 Phone: 909-984-7883 | |
Roberto Figueroa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3045 S Archibald Ave Ste H-289, Ontario, CA 91761 Phone: 909-758-8075 |