Individual
DR. CHUCK C JOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12011 LEE JACKSON MEMORIAL HWY, SUITE 104, FAIRFAX, VA 22033-3310
(703) 766-1575
Mailing address
12011 LEE JACKSON MEMORIAL HWY, SUITE 104, FAIRFAX, VA 22033-3310
(703) 766-1575
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410190
VA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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