ANDREW CHUNGSUP BAE

FORT LEE, NJ
NPI1992859862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NJ  22DI02256500)
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
-- ANDREW CHUNGSUP BAE D.D.S
422 MAIN ST
FORT LEE, NJ 07024-2861
Phone number: 201-585-1669
Mailing Address
-- ANDREW CHUNGSUP BAE D.D.S
422 MAIN ST
FORT LEE, NJ 07024-2861
Phone number: 201-585-1669
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