Bae, Kwang Soo
Bae, Kwang Soo is an sole proprietor health care provider with primary practice located at 106 Prospect Street , South Orange NJ 07079-2112. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bae, Kwang Soo can be contacted via phone (973) 275-6260.Contact Information
Primary practice address
106 Prospect Street
South Orange NJ 07079-2112
Phone: (973) 275-6260
Fax: (973) 275-6270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DI019644 | New Jersey |
Profile Details
| NPI number | 1891967733 |
|---|---|
| LBN Legal business name | Bae, Kwang Soo |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2008 |
| Last updated | Apr 1st, 2008 - about 17 years ago |
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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