Organization
BAE FAMILY DENTISTRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAN K. BAE DDS (PRESIDENT)
(206) 779-5742
Entity
Organization
Contact information
Practice address
11410 NE 19TH ST, BELLEVUE, WA 98004-3030
(425) 635-9414
Mailing address
11410 NE 19TH ST, BELLEVUE, WA 98004-3030
(425) 635-9414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007058
WA
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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