Bae, Jun Tae
Bae, Jun Tae is an sole proprietor health care provider with primary practice located at 13974 Baltimore Ave , Laurel MD 20707-5086. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bae, Jun Tae can be contacted via phone (301) 490-8200.Contact Information
Primary practice address
13974 Baltimore Ave
Laurel MD 20707-5086
Phone: (301) 490-8200
Fax: (301) 490-4300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 11589 | Maryland |
Profile Details
| NPI number | 1013952068 |
|---|---|
| LBN Legal business name | Bae, Jun Tae |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Apr 10th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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