Suho Bae, DDS
NPI #1841715992 in Espanola, New Mexico
Provider Information
- NPI Number
- 1841715992
- Entity Type
- Individual
- Name
- Suho Bae, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 10, 2017
- Last Updated
- Aug 16, 2017
Practice Location
- Address
- 1508 N RIVERSIDE DR
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532-2064
- Phone
- (888) 988-4066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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