Individual
SUHO BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1508 N RIVERSIDE DR, ESPANOLA, NM 87532-2064
(888) 988-4066
(847) 496-4850
Mailing address
2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 60173-4166
(888) 988-4066
(847) 496-4850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4780
NM
Other
Enumeration date
08/10/2017
Last updated
08/16/2017
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