| Jae Kwon Bok Dds Pc | |
|
7535 Little River Tpke 100-e Annandale VA 22003-2937 | |
| (703) 956-6222 | |
| Not Available |
| Full Name | Jae Kwon Bok Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 7535 Little River Tpke, Annandale, Virginia |
| Authorized Official Name and Position | Jae Bok (PRESIDENT) |
| Authorized Official Contact | 7039566222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Kwon Bok Dds Pc 7535 Little River Tpke #100-e Annandale VA 22003-2937 Ph: (703) 956-6222 | Jae Kwon Bok Dds Pc 7535 Little River Tpke 100-e Annandale VA 22003-2937 Ph: (703) 956-6222 |
| NPI Number | 1164692448 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164692448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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