Erica Bae
Erica Bae is a Dentist in San Jose, California. Licensed in California and New Jersey. Registered with an NPI since 2014.
- Licensed in
- CA, NJ
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
5730 Cottle Rd Ste 240San Jose, CA 95123-3764
Phone: (408) 203-7494
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 104859 (CA) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 22DI02521500 (NJ) |
Record details
| NPI number | 1912322983 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 26, 2014 |
| Last updated in NPPES | July 27, 2020 |
| Certification date | July 27, 2020 |
| Mailing address | 5730 Cottle Rd Ste 240, San Jose, CA 95123-3764 |
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