Individual
DR. EDWARD SEUNG-WON BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6134 REDWOOD SQUARE CENTER, SUITE 101, CENTREVILLE, VA 20121-2642
(703) 543-6788
(703) 543-4778
Mailing address
6134 REDWOOD SQUARE CENTER, SUITE 101, CENTREVILLE, VA 20121-2642
(703) 543-6788
(703) 543-4778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556727
VA
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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