Yoon, Jangyeul

Yoon, Jangyeul is an individual health care provider with primary practice located at 10807 Main St Ste 200 , Fairfax VA 22030-4730. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Yoon, Jangyeul can be contacted via phone (703) 261-6999.

Contact Information

Primary practice address
10807 Main St Ste 200 Fairfax VA 22030-4730
Phone: (703) 261-6999
Fax: (703) 349-2575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS035289 Pennsylvania

Profile Details

NPI number 1538100748
LBN Legal business name Yoon, Jangyeul
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Oct 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538100748 NPPES
Pennsylvania MEDICAID 001900640
Pennsylvania Other 01388616
Pennsylvania Other 106688
Pennsylvania Other 132759
Pennsylvania Other 0015943
Pennsylvania Other DS035289

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