Individual
SYLVIA HYEJIN BAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5002 AIRPORT RD NW # 30, ROANOKE, VA 24012-1607
(540) 613-8411
Mailing address
4042 GUINEA RD, FAIRFAX, VA 22032-1413
(703) 909-8829
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416400
VA
Other
Enumeration date
02/02/2019
Last updated
02/02/2019
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