Bok, Jae Kwon
Bok, Jae Kwon is an individual health care provider with primary practice located at 7535 Little River Tpke # 100 E, Annandale VA 22003-2937. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bok, Jae Kwon can be contacted via phone (703) 336-3818.Contact Information
Primary practice address
7535 Little River Tpke # 100 E
Annandale VA 22003-2937
Phone: (703) 336-3818
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401411726 | Virginia |
| Dental Providers / General Practice | 1223G0001X | Illinois |
Profile Details
| NPI number | 1487756441 |
|---|---|
| LBN Legal business name | Bok, Jae Kwon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Feb 3rd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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