KYOUNG HAN BAE

MALVERNE, NY
NPI1750933073
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NY  064016)
Additional Taxonomies122300000X Dentist
(Licence: MA  DN1858395)
Enumeration Date2019-07-16
Last Update Date2025-02-13
Business Address
Dr. KYOUNG HAN BAE DDS
116 BROADWAY
MALVERNE, NY 11565-1635
Phone number: 917-484-0986
Mailing Address
Dr. KYOUNG HAN BAE DDS
116 BROADWAY
MALVERNE, NY 11565-1635
Phone number: 917-484-0986