Individual
DR. YOUNG KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4138 FOUNTAINSIDE LN, 303, FAIRFAX, VA 22030-7437
(917) 407-4253
Mailing address
4138 FOUNTAINSIDE LN, 303, FAIRFAX, VA 22030-7437
(917) 407-4253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413381
VA
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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