Provider Demographics
NPI:1023983822
Name:BAEK D.D.S. INC.
Entity type:Organization
Organization Name:BAEK D.D.S. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAEK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-497-1222
Mailing Address - Street 1:114 BIRCH ST STE D
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-1399
Mailing Address - Country:US
Mailing Address - Phone:650-999-3935
Mailing Address - Fax:650-822-6224
Practice Address - Street 1:114 BIRCH ST STE D
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1399
Practice Address - Country:US
Practice Address - Phone:650-999-3935
Practice Address - Fax:650-822-6224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty