| Kyoung Han Bae Dds P.c. | |
|
116 Broadway Malverne NY 11565-1635 | |
| (646) 375-1296 | |
| Not Available |
| Full Name | Kyoung Han Bae Dds P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 116 Broadway, Malverne, New York |
| Authorized Official Name and Position | Kyoung Han Bae (CEO) |
| Authorized Official Contact | 9174840986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyoung Han Bae Dds P.c. 116 Broadway Malverne NY 11565-1635 Ph: (646) 375-1296 | Kyoung Han Bae Dds P.c. 116 Broadway Malverne NY 11565-1635 Ph: (646) 375-1296 |
| NPI Number | 1962207134 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 02/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962207134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Smiles On Broadway Dental Care, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Broadway, Malverne, NY 11565 Phone: 516-599-0883 Fax: 516-599-0227 |