Individual
SEUNG YEON BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22301 ROCKSIDE RD, BEDFORD, OH 44146-1509
(440) 232-4222
Mailing address
22301 ROCKSIDE RD, BEDFORD, OH 44146-1509
(240) 818-6177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025688
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2018
Last updated
08/01/2022
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