| Dr Kwang Soo Bae, DDS | |
|
106 Prospect Street, South Orange, NJ 07079-2112 | |
| (973) 275-6260 | |
| (973) 275-6270 |
| Full Name | Dr Kwang Soo Bae |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 106 Prospect Street, South Orange, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891967733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI019644 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kwang Soo Bae, DDS 106 Prospect Street, South Orange, NJ 07079-2112 Ph: (973) 275-6260 | Dr Kwang Soo Bae, DDS 106 Prospect Street, South Orange, NJ 07079-2112 Ph: (973) 275-6260 |
Dr. Victor M. Petriella, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 177 Irvington Ave, South Orange, NJ 07079 Phone: 973-762-5773 Fax: 973-762-5003 | |
Davia D. Strachan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 481 S Orange Ave, South Orange, NJ 07079 Phone: 973-762-2660 | |
Dr. Carol E Mann, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 202 S Orange Ave, South Orange, NJ 07079 Phone: 973-761-7003 | |
Ronald Kurlan, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 45 Prospect St, South Orange, NJ 07079 Phone: 973-763-2940 | |
Janatha Withanachchi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 71 Valley St Ste 100, South Orange, NJ 07079 Phone: 862-250-6952 | |
Haniel Chyler Rosemond, D.D.S., F.A.G.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 481 S Orange Ave, South Orange, NJ 07079 Phone: 973-762-2660 Fax: 973-762-5473 | |
Dr. Stephanie Ekemezie, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 228 S Orange Ave, South Orange, NJ 07079 Phone: 937-821-4959 |