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Individual

DR. MYUNGSUK KOH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
302 JAMERSON CT, GLEN ALLEN, VA 23059-5678
(781) 535-2834
Mailing address
4017 LAUDERDALE DR, HENRICO, VA 23233-1082
(804) 913-1710

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413547
VA
1223G0001X
General Practice Dentistry
DN1855839
MA

Other

Enumeration date
08/17/2011
Last updated
03/19/2019
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