Organization · Type 2 NPI
Ilcheon Joo DDS PC
Dental Clinic/Center · Pine Grove, PA
NPI number
1699006452
Active
Practice location
46 Mifflin St
Pine Grove, PA 17963-1318
Fax (570) 345-3161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DS037775 (PA) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Pine Grove
About NPI 1699006452
Ilcheon Joo DDS PC's National Provider Identifier is 1699006452, issued on Jan 19, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pine Grove, PA. The record was last updated on Jan 19, 2010.