Bae, Jason Jin Soo

Bae, Jason Jin Soo is an individual health care provider with primary practice located at 46161 Westlake Dr Ste 200 , Sterling VA 20165-5871. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bae, Jason Jin Soo can be contacted via phone (703) 544-9740.

Contact Information

Primary practice address
46161 Westlake Dr Ste 200 Sterling VA 20165-5871
Phone: (703) 544-9740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0401414773 Virginia

Profile Details

NPI number 1629276522
LBN Legal business name Bae, Jason Jin Soo
Credentials D.D.S., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Aug 16th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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