Bae, Suho
Bae, Suho is an individual health care provider with primary practice located at 1508 N Riverside Dr , Espanola NM 87532-2064. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bae, Suho can be contacted via phone (888) 988-4066.Contact Information
Primary practice address
1508 N Riverside Dr
Espanola NM 87532-2064
Phone: (888) 988-4066
Fax: (847) 496-4850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DD4780 | New Mexico |
Profile Details
| NPI number | 1841715992 |
|---|---|
| LBN Legal business name | Bae, Suho |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2017 |
| Last updated | Aug 16th, 2017 - about 7 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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