# DR. SUN-YUNG BAK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255343075
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 00132 | NC | — |
| 1223G0001X | General Practice Dentistry | 047799 | NY | — |
| 1223P0700X | Prosthodontics | 2901022863 | MI | Yes |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 09/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00132 | NC STATE BOARD OF DENTAL EXAMINERS | NC |
| 01 | — | 047799 | NY LICENSE | NY |