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Individual

JONG KOO BYUN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
114 W MAIN ST, YADKINVILLE, NC 27055
(336) 679-2181
(336) 679-2753
Mailing address
PO BOX 219, YADKINVILLE, NC 27055-0219
(336) 679-2181
(336) 679-2753

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6961
NC

Other

Enumeration date
12/19/2005
Last updated
07/08/2007
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