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Individual

MR. EUNSEOK OH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
301 MAPLE AVE WEST, STE 440, VIENNA, VA 22180
(703) 539-9166
Mailing address
301 MAPLE AVE WEST, STE 440, VIENNA, VA 22180
(703) 539-9166

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
052163
NY
1223P0300X
Periodontics
Primary
0401412796
VA

Other

Enumeration date
05/17/2007
Last updated
11/20/2019
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