Individual
DR. ROSE JUYOUNG HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3927 OLD LEE HWY, SUITE 102 E, FAIRFAX, VA 22030-2422
(703) 691-1004
(703) 691-1005
Mailing address
3927 OLD LEE HWY, SUITE 102 E, FAIRFAX, VA 22030-2422
(703) 691-1004
(703) 691-1005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4017724
VA
Other
Enumeration date
02/11/2008
Last updated
05/01/2008
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