Individual
JIYON OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6537 ARLINGTON BLVD, FALLS CHURCH, VA 22042-3001
(703) 536-2661
(703) 538-3424
Mailing address
2303 BROADLEAF BLVD, MANCHESTER, CT 06042-7326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416155
VA
1223G0001X
General Practice Dentistry
DN1857334
MA
Other
Enumeration date
07/21/2016
Last updated
07/26/2018
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