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1629276522
JASON JIN SOO BAE
STERLING, VA
NPI
1629276522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: VA 0401414773)
Enumeration Date
2007-07-03
Last Update Date
2021-08-16
Business Address
JASON JIN SOO BAE D.D.S., M.D.
46161 WESTLAKE DR STE 200
STERLING, VA 20165-5871
Phone number: 703-544-9740
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Mailing Address
JASON JIN SOO BAE D.D.S., M.D.
14955 SHADY GROVE RD STE 330
ROCKVILLE, MD 20850-8720
Phone number:
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