| NPI | 1780812800 |
|---|---|
| Doing Business As | FAMILY DENTISTRY OF GAITHERSBURG |
| Entity Type | Organization |
| Authorized Contact | JUN TAE BAE General Dentist 301-527-8664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 11589) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |