Sang Bae, DDS

NPI #1104147016 in Bothell, Washington

Provider Information

NPI Number: 1104147016
Entity Type: Individual
Name: Sang Bae, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 15, 2010
Last Updated: Jun 15, 2010

Practice Location

Address: 1729 208TH ST SE
Address 2: #101
City: Bothell
State: Washington
ZIP Code: 98012-7789
Phone: (425) 485-8885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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