DR. Mike Chang-Gu Yeo

NPI #1356534325 in Chantilly, Virginia

Provider Information

NPI Number: 1356534325
Entity Type: Individual
Name: DR. Mike Chang-Gu Yeo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Aug 23, 2007
Last Updated: Aug 23, 2007

Practice Location

Address: 13916 METROTECH DR
City: Chantilly
State: Virginia
ZIP Code: 20151-3238
Phone: (703) 488-9922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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