Individual
KAYLIN KYUNG YEON JU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
202 S KING ST, LEESBURG, VA 20175-3010
(703) 777-1162
Mailing address
43459 HOPESTONE TER, CHANTILLY, VA 20152-1992
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416217
VA
Other
Enumeration date
01/11/2019
Last updated
08/04/2020
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