Individual
JANGYEUL YOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10807 MAIN ST STE 200, FAIRFAX, VA 22030-4730
(703) 261-6999
(703) 349-2575
Mailing address
10807 MAIN ST STE 200, FAIRFAX, VA 22030-4730
(703) 261-6999
(703) 349-2575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035289
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015943
DORAL DENTAL
PA
05
—
001900640
—
PA
01
—
01388616
UNITED CONCORDIA
PA
01
—
106688
DENTAL BENEFIT PROVIDERS
PA
01
—
132759
UNISON
PA
01
—
DS035289
DELTA DENTAL
PA
Enumeration date
06/09/2006
Last updated
10/16/2008
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