Individual
DR. SUN-YUNG BAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 764-5527
Mailing address
1011 N UNIVERSITY AVE RM K1018, ANN ARBOR, MI 48109-1078
(734) 764-5527
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00132
NC
1223G0001X
General Practice Dentistry
047799
NY
1223P0700X
Prosthodontics
Primary
2901022863
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00132
NC STATE BOARD OF DENTAL EXAMINERS
NC
01
—
047799
NY LICENSE
NY
Enumeration date
08/12/2006
Last updated
09/30/2021
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