# JUNG S PAK DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fairfax Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366864480
- **Authorized official:** DR. JUNG SOO PAK DDS (DIRECTOR)
- **Authorized official phone:** (703) 691-9740

## Contact information

- **Practice address:** 11001 LEE HWY STE A, FAIRFAX, VA 22030-5018
- **Practice address phone:** (703) 691-9740
- **Practice address fax:** (703) 691-9809
- **Mailing address:** 11001 LEE HWY STE A, FAIRFAX, VA 22030-5018
- **Mailing address phone:** (703) 691-9740
- **Mailing address fax:** (703) 691-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2014
- **Last updated:** 01/08/2014