Individual
DR. JUNWOO BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 PARSONS BLVD, DENTAL DEPARTMENT, FLUSHING, NY 11355-2205
(718) 670-5521
Mailing address
4500 PARSONS BLVD, DENTAL DEPARTMENT, FLUSHING, NY 11355-2205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058777
NY
Other
Enumeration date
07/12/2015
Last updated
03/14/2017
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