# BAE FAMILY DENTISTRY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427496629
- **Authorized official:** DR. CHAN K. BAE DDS (PRESIDENT)
- **Authorized official phone:** (206) 779-5742

## Contact information

- **Practice address:** 11410 NE 19TH ST, BELLEVUE, WA 98004-3030
- **Practice address phone:** (425) 635-9414
- **Mailing address:** 11410 NE 19TH ST, BELLEVUE, WA 98004-3030
- **Mailing address phone:** (425) 635-9414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00007058 | WA | Yes |

## Other

- **Enumeration date:** 06/10/2013
- **Last updated:** 06/10/2013