Organization
BAE, D.D.S., L.L.C
Active
Other names
Family Dentistry of Annapolis
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUN TAE BAE D.D.S (OWNER)
(443) 603-9000
Entity
Organization
Contact information
Practice address
200 FORBES ST, SUITE 301, ANNAPOLIS, MD 21401-1538
(443) 603-9000
(443) 603-9010
Mailing address
200 FORBES ST, SUITE 301, ANNAPOLIS, MD 21401-1538
(443) 603-9000
(443) 603-9010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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