Individual
SCOTT KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15234 WASHINGTON ST, HAYMARKET, VA 20169-2952
(571) 248-0700
Mailing address
42976 SPYDER PL, CHANTILLY, VA 20152-3460
(703) 283-9228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415166
VA
Other
Enumeration date
04/01/2015
Last updated
10/29/2025
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