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1013952068
JUN TAE BAE
LAUREL, MD
NPI
1013952068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MD 11589)
Enumeration Date
2006-06-16
Last Update Date
2023-04-10
Business Address
JUN TAE BAE D.D.S.
13974 BALTIMORE AVE
LAUREL, MD 20707-5086
Phone number: 301-490-8200
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Mailing Address
JUN TAE BAE D.D.S.
13974 BALTIMORE AVE
LAUREL, MD 20707-5086
Phone number: 301-490-8200
Copy
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