| NPI | 1912322983 |
|---|---|
| Professional Name | ERICA HYUNJI BAE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 104859) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02521500) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2020-07-27 |