# KYOUNG HAN BAE DDS P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cornerstone Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962207134
- **Authorized official:** KYOUNG HAN BAE DDS (CEO)
- **Authorized official phone:** (917) 484-0986

## Contact information

- **Practice address:** 116 BROADWAY, MALVERNE, NY 11565-1635
- **Practice address phone:** (646) 375-1296
- **Mailing address:** 116 BROADWAY, MALVERNE, NY 11565-1635
- **Mailing address phone:** (646) 375-1296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2025
- **Last updated:** 02/13/2025