Individual
JUN TAE BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13974 BALTIMORE AVE, LAUREL, MD 20707-5086
(301) 490-8200
(301) 490-4300
Mailing address
13974 BALTIMORE AVE, LAUREL, MD 20707-5086
(301) 490-8200
(301) 490-4300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11589
MD
Other
Enumeration date
06/16/2006
Last updated
04/10/2023
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