DR. Ilcheon Joo, D.D.S

NPI #1063530509 in Pine Grove, Pennsylvania

Provider Information

NPI Number: 1063530509
Entity Type: Individual
Name: DR. Ilcheon Joo, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Mar 26, 2007
Last Updated: Dec 8, 2009

Practice Location

Address: 46 MIFFLIN ST
City: Pine Grove
State: Pennsylvania
ZIP Code: 17963-1318
Phone: (570) 345-3495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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