Individual
JUNG-HWA AILEEN KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 W BROAD ST, FALLS CHURCH, VA 22046-2116
(703) 519-6697
Mailing address
1900 S EADS ST APT 928, ARLINGTON, VA 22202-3045
(703) 963-9160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417143
VA
122300000X
Dentist
DEN1002152
DC
Other
Enumeration date
06/16/2020
Last updated
01/12/2022
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