Individual
GINA BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
41 ACKERMAN AVE, CLIFTON, NJ 07011-1501
(973) 531-4444
(973) 531-4000
Mailing address
41 ACKERMAN AVE, CLIFTON, NJ 07011-1501
(973) 531-4444
(973) 531-4000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02650600
NJ
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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