Individual
DR. SANG K BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4 MAIN ST, BROCKTON, MA 02301-4027
(617) 869-9077
(508) 587-7799
Mailing address
4 MAIN ST, BROCKTON, MA 02301-4027
(617) 869-9077
(508) 587-7799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21395
MA
Other
Enumeration date
12/20/2006
Last updated
03/06/2012
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