Minkyung Bae
Minkyung Bae is a Student in an Organized Health Care Education/Training Program in Herndon, Virginia. Licensed in Virginia. Registered with an NPI since 2021.
- Licensed in
- VA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1094 Elden StHerndon, VA 20170-3803
Phone: (703) 787-2273
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Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 0401417607 (VA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1891378931 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 5, 2021 |
| Last updated in NPPES | December 9, 2024 |
| Certification date | December 9, 2024 |
| Mailing address | 1094 Elden St, Herndon, VA 20170-3803 |
Other providers in Herndon
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-
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Micah Brown
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-
Danielo Bucci, DC
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