Individual
SEJIN BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 NORTH ACADEMY AVENUE, DANVILLE, PA 17822
(570) 271-6211
Mailing address
9550 W SAHARA AVE UNIT 2063, LAS VEGAS, NV 89117
(714) 980-1783
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
22DI03014100
NJ
Other
Enumeration date
04/06/2020
Last updated
07/31/2024
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