JASON JIN SOO BAE D.D.S., M.D.
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1629276522- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.D.S., M.D.
- Status
- Active
Contact & Location
- Address
- 46161 WESTLAKE DR STE 200, STERLING, VA, 201655871
- Phone
- (703) 544-9740
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: VA #0401414773
All Addresses
MAILING
14955 SHADY GROVE RD STE 330
ROCKVILLE, MD, 208508720