Dental Board of California
Licensing details for: 10476
Name: KRISTY H. BAE, DDS, A PROF. DENTAL CORP.
License Type: Additional Office Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: KRISTY H. BAE, DDS, APDC
Address of Record
2005 B3E. PARK PLACE
EL SEGUNDO CA 90245
LOS ANGELES county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: BAE, KRISTY HYOSONG
License/Registration Type: Dentist License
License Number: 43110 Primary Status: Current - Active
Address :
2005 B3E Park Place
EL SEGUNDO CA 90245
