Organization · Type 2 NPI
Jung S Pak DDS PC
Dental Clinic/Center · Fairfax, VA
NPI number
1366864480
Active
Practice location
11001 Lee Hwy Ste A
Fairfax, VA 22030-5018
Fax (703) 691-9809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1366864480
Jung S Pak DDS PC's National Provider Identifier is 1366864480, issued on Jan 8, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fairfax, VA. The record was last updated on Jan 8, 2014.