Jun Tae Bae, Dds, LLC
NPI #1780812800 in Gaithersburg, Maryland
Provider Information
- NPI Number
- 1780812800
- Entity Type
- Organization
- Organization Name
- Jun Tae Bae, Dds, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 26, 2009
- Last Updated
- Jun 26, 2009
Practice Location
- Address
- 501 N FREDERICK AVE
- Address 2
- SUITE #109
- City
- Gaithersburg
- State
- Maryland
- ZIP Code
- 20877-2507
- Phone
- (301) 527-8664
Authorized Official
- Name
- DR. JUN TAE BAE, DDS
- Title
- GENERAL DENTIST
- Phone
- (301) 527-8664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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