Individual
DR. ANNA BAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
90 S RIDGE ST STE LL-9A, RYE BROOK, NY 10573-2836
(914) 925-1099
Mailing address
90 S RIDGE ST STE LL-9A, RYE BROOK, NY 10573-2836
(914) 925-1099
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
060677
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2017
Last updated
06/29/2020
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