Individual
DR. JUNG SOO PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
11001 LEE HWY, SUITE # A, FAIRFAX, VA 22030-5018
(703) 691-9740
(703) 691-9809
Mailing address
11001 LEE HWY, SUITE # A, FAIRFAX, VA 22030-5018
(703) 691-9740
(703) 691-9809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414147
VA
Other
Enumeration date
05/18/2009
Last updated
05/08/2015
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