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Individual

DR. ALLEN KYUNGJIN BAE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5270 S FORT APACHE RD STE 350, LAS VEGAS, NV 89148-1724
(702) 273-3404
Mailing address
6355 S DURANGO DR UNIT 1121, LAS VEGAS, NV 89113-1798
(714) 944-2625

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8001
NV

Other

Enumeration date
06/14/2023
Last updated
09/13/2024
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