Individual
DR. ILCHEON JOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
46 MIFFLIN ST, PINE GROVE, PA 17963-1318
(570) 345-3495
(570) 345-3161
Mailing address
6690 HAUSER RD, M101, MACUNGIE, PA 18062-8102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037775
PA
Other
Enumeration date
03/26/2007
Last updated
12/08/2009
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