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Individual

DR. JOYCE H BAHNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
46161 WESTLAKE DR STE 310, STERLING, VA 20165-5871
(703) 774-9699
(703) 444-4309
Mailing address
46161 WESTLAKE DR STE 310, STERLING, VA 20165-5871
(703) 774-9699
(703) 444-4309

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416429
VA
1223G0001X
General Practice Dentistry
30-023319
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/08/2010
Last updated
07/06/2021
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