Bae, Sang K
Bae, Sang K is an sole proprietor health care provider with primary practice located at 4 Main St , Brockton MA 02301-4027. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bae, Sang K can be contacted via phone (617) 869-9077.Contact Information
Primary practice address
4 Main St
Brockton MA 02301-4027
Phone: (617) 869-9077
Fax: (508) 587-7799
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 21395 | Massachusetts |
Profile Details
NPI number | 1962566513 |
---|---|
LBN Legal business name | Bae, Sang K |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 20th, 2006 |
Last updated | Mar 6th, 2012 - about 13 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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