Jin Nam Baek, DDS, Inc.

Organization Active NPI General Practice Dentistry · Joshua Tree, CA

NPI 1609018381 · NPPES record last updated Mar 27, 2009

Key facts

NPI
1609018381
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
54709 (CA)
Legal business name
JIN NAM BAEK, DDS, INC.
Practice address
61325 29 Palms Hwy Ste a
Joshua Tree, CA 92252-1912
Phone
(760) 366-0420
Fax
(760) 366-0520
NPI assigned
Mar 27, 2009
Organization subpart
No

Authorized official

Name
Dr. Jin Nam Baek, DDS
Title
President/Owner
Phone
(760) 336-0420

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

61325 29 Palms Hwy
Ste A
Joshua Tree, CA 92252
Phone (760) 366-0420

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 54709 CA Yes

Addresses

Primary practice location

61325 29 Palms Hwy Ste a
Joshua Tree, CA 92252-1912

Mailing address

61325 29 Palms Hwy Ste a
Joshua Tree, CA 92252-1912
Phone (760) 366-0420

Other providers in Joshua Tree, CA

All providers in Joshua Tree, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.