Ryan Baek Dental | |
428 Pennsylvania Ave Fort Washington PA 19034-3413 | |
(215) 643-0300 | |
(215) 643-0333 |
Full Name | Ryan Baek Dental |
---|---|
Speciality | Dentist |
Location | 428 Pennsylvania Ave, Fort Washington, Pennsylvania |
Authorized Official Name and Position | Aeri (katie) Baek (OFFICE MANAGER) |
Authorized Official Contact | 2156430300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ryan Baek Dental 428 Pennsylvania Ave Fort Washington PA 19034-3413 Ph: (215) 643-0300 | Ryan Baek Dental 428 Pennsylvania Ave Fort Washington PA 19034-3413 Ph: (215) 643-0300 |
NPI Number | 1144619180 |
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Provider Enumeration Date | 01/14/2015 |
Last Update Date | 01/14/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144619180 | NPI | - | NPPES |
101930230 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS037069 (Pennsylvania) | Primary |
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