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Dr. Young Koo
General Practice Dentistry in Fairfax, Virginia
NPI 1861776387

Young Koo is a General Practice Dentistry based in Fairfax, VA and is specialized in General Practice. Young Koo practices in Fairfax, VA. The NPI Number for Young Koo is 1861776387 and holds a License No. 0401413381 (Virginia).

The current practice location address for Young Koo is 4138 Fountainside Ln, Fairfax, VA and can be reached out via phone at 917-407-4253.

Location: 4138 Fountainside Ln, Fairfax, VA, 22030-7437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861776387
Provider Name
Young Koo
Credential
Provider Entity Type
Individual
Gender
Female
Address
4138 Fountainside Ln, Fairfax, VA, 22030-7437
Phone Number
917-407-4253
Fax Number
Provider Enumeration Date
10/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4138 Fountainside Ln
City
Fairfax
State
Virginia
Zip
22030-7437
Phone Number
917-407-4253
Fax Number
person
Provider Business Mailing Address Details
Address
4138 Fountainside Ln
City
Fairfax
State
Virginia
Zip
22030-7437
Phone Number
917-407-4253
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401413381 (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.
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