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Individual

DR. BUM JOO BAEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5737 N BROAD ST, PHILADELPHIA, PA 19141-2307
(215) 224-9800
Mailing address
3701 CHESTNUT ST # C29, PHILADELPHIA, PA 19104-3104
(267) 670-0354

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039269
PA

Other

Enumeration date
08/10/2012
Last updated
08/10/2012
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