Jae Kwon Bok DDS PC

NPI #1164692448 in Annandale, Virginia

Provider Information

NPI Number: 1164692448
Entity Type: Organization
Organization Name: Jae Kwon Bok DDS PC
Primary Specialty: Dentist
Enumeration Date: Mar 3, 2008
Last Updated: Mar 3, 2008

Practice Location

Address: 7535 LITTLE RIVER TPKE
Address 2: 100-E
City: Annandale
State: Virginia
ZIP Code: 22003-2937
Phone: (703) 956-6222

Authorized Official

Name: JAE BOK
Title: PRESIDENT
Phone: (703) 956-6222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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