Individual
MARC DH EUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4511 PLATEAU DR, FAIRFAX, VA 22030-6281
(907) 333-6666
Mailing address
4511 PLATEAU DR, FAIRFAX, VA 22030-6281
(703) 732-3996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415916
VA
Other
Enumeration date
08/10/2017
Last updated
04/10/2020
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