Individual
JAE KWON BOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7535 LITTLE RIVER TPKE, # 100 E, ANNANDALE, VA 22003-2937
(703) 336-3818
Mailing address
7535 LITTLE RIVER TPKE, # 100 E, ANNANDALE, VA 22003-2937
(703) 336-3818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411726
VA
1223G0001X
General Practice Dentistry
—
IL
Other
Enumeration date
09/01/2006
Last updated
02/03/2008
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