DR. Young Koo

NPI #1861776387 in Fairfax, Virginia

Provider Information

NPI Number: 1861776387
Entity Type: Individual
Name: DR. Young Koo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 3, 2011
Last Updated: Oct 3, 2011

Practice Location

Address: 4138 FOUNTAINSIDE LN
Address 2: 303
City: Fairfax
State: Virginia
ZIP Code: 22030-7437
Phone: (917) 407-4253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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