Most Relevant Information
Provider Data
NPI Number: | 1003053984 |
Provider Name: | EUL-MO KANG D.D.S. |
Entity Type: | Individual |
Taxonomy Code: | 1223G0001X |
Specialty: | Dentist |
License Number: | 0401006989 |
Most Important Dates
Enumeration Date: | 01/14/2009 |
Last Updated: | 01/14/2009 |
Provider Practice Location
4540A JOHN MARR DR
ANNANDALE
VA
22003
Practice Location Phone/Fax
Phone: | 7033333016 |
Fax: | 7033333018 |
Provider Mailing Location
4540A JOHN MARR DR
ANNANDALE
VA
22003
Provider Mailing Phone/Fax
Phone: | 7033333016 |
Fax: | 7033333018 |