Bae, D.d.s., L.l.c

NPI #1679961866 in Annapolis, Maryland

Provider Information

NPI Number: 1679961866
Entity Type: Organization
Organization Name: Bae, D.d.s., L.l.c
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 23, 2014
Last Updated: Dec 23, 2014

Practice Location

Address: 200 FORBES ST
Address 2: SUITE 301
City: Annapolis
State: Maryland
ZIP Code: 21401-1538
Phone: (443) 603-9000

Authorized Official

Name: DR. JUN TAE BAE, D.D.S
Title: OWNER
Phone: (443) 603-9000

Specialties & Taxonomy Codes

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

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