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Dr. Chan Young Moon
General Practice Dentistry in Arlington, Virginia
NPI 1326733379

Chan Young Moon is a General Practice Dentistry based in Boston, VA and is specialized in General Practice. Chan Young Moon practices in Arlington, VA. The NPI Number for Chan Young Moon is 1326733379 and holds a License No. (Virginia).

The current practice location address for Chan Young Moon is 3801 Fairfax Dr Ste 24, Arlington, VA and can be reached out via phone at 703-988-7278.

Location: 3801 Fairfax Dr Ste 24, Arlington, VA, 02111-1527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326733379
Provider Name
Chan Young Moon
Credential
Provider Entity Type
Individual
Gender
Male
Address
3801 Fairfax Dr Ste 24, Arlington, VA, 02111-1527
Phone Number
703-988-7278
Fax Number
Provider Enumeration Date
04/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3801 Fairfax Dr Ste 24
City
Arlington
State
Virginia
Zip
22203-1762
Phone Number
703-988-7278
Fax Number
person
Provider Business Mailing Address Details
Address
3801 Fairfax Dr Ste 24
City
Arlington
State
Virginia
Zip
22203-1762
Phone Number
703-988-7278
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401418565 (Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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