Individual
DR. MIKE CHANG-GU YEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13916 METROTECH DR, CHANTILLY, VA 20151-3238
(703) 488-9922
(703) 263-0808
Mailing address
13916 METROTECH DR, CHANTILLY, VA 20151-3238
(703) 488-9922
(703) 263-0808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007714
VA
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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