Individual
DR. TERESA BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1 E PHILLIP RD STE 102, VERNON HILLS, IL 60061-1858
(847) 367-6055
Mailing address
1 E PHILLIP RD STE 102, VERNON HILLS, IL 60061-1858
(847) 367-6055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7752
NE
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019.034670
IL
Other
Enumeration date
08/17/2021
Last updated
01/11/2024
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