Individual
DR. TOMMY BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
545 MARKS ST STE 100, HENDERSON, NV 89014-6501
(702) 425-3697
Mailing address
4352 S MILLER LN, LAS VEGAS, NV 89147-6233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7098
NV
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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