Ilcheon Joo DDS PC
NPI #1699006452 in Pine Grove, Pennsylvania
Provider Information
- NPI Number
- 1699006452
- Entity Type
- Organization
- Organization Name
- Ilcheon Joo DDS PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 19, 2010
- Last Updated
- Jan 19, 2010
Practice Location
- Address
- 46 MIFFLIN ST
- City
- Pine Grove
- State
- Pennsylvania
- ZIP Code
- 17963-1318
- Phone
- (570) 345-3495
Authorized Official
- Name
- DR. ILCHEON JOO, DDS
- Title
- PRESIDENT/OWNER
- Phone
- (570) 345-3495
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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