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General NPI Number Information
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NPI Number | 1023953908
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Entity Type | Organization
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Legal Business Name | BALTIMORE ENDODONTIC ASSOCIATES LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 8601 LASALLE RD STE 203
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City | TOWSON
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State | MD
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Zip | 21286-2004
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Country | US
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Telephone | 443-794-4108
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Fax |
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Provider Business Mailing Address
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Address Line | 8 SAGEWOOD CT
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City | SPARKS GLENCOE
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State | MD
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Zip | 21152-9304
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Country | US
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Telephone | 443-794-4108
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Fax |
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Authorized Official
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Title or Position | ENDODONTIST
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Name | DR. HEEJUN K LEE
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Credential | DDS
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Telephone | 443-794-4108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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