Individual
JAE-WOO JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11864 SUNRISE VALLEY DR STE 100, RESTON, VA 20191-3311
(703) 964-1777
(703) 964-1776
Mailing address
7322 PINEWOOD ST, FALLS CHURCH, VA 22046-2726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416137
VA
Other
Enumeration date
07/02/2018
Last updated
09/30/2024
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