Organization
JUNG S PAK DDS PC
Active
Other names
Fairfax Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNG SOO PAK DDS (DIRECTOR)
(703) 691-9740
Entity
Organization
Contact information
Practice address
11001 LEE HWY STE A, FAIRFAX, VA 22030-5018
(703) 691-9740
(703) 691-9809
Mailing address
11001 LEE HWY STE A, FAIRFAX, VA 22030-5018
(703) 691-9740
(703) 691-9809
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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