Individual
DR. JAE MIN CHAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1100 WASHINGTON AVE LOT C, PHILADELPHIA, PA 19147-3821
(215) 462-4877
Mailing address
1100 WASHINGTON AVE 2ND FLOOR, UNIT G, PHILADELPHIA, PA 19147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DI02355900
NJ
1223G0001X
General Practice Dentistry
Primary
DS038681
PA
Other
Enumeration date
09/07/2007
Last updated
07/05/2012
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