Dong-soo Hong Dmd Pllc | |
11800 Sunrise Valley Dr Reston VA 20191-5300 | |
(703) 850-6566 | |
Not Available |
Full Name | Dong-soo Hong Dmd Pllc |
---|---|
Speciality | Dentist - Prosthodontics |
Location | 11800 Sunrise Valley Dr, Reston, Virginia |
Authorized Official Name and Position | Dong-soo Hong (OWNER) |
Authorized Official Contact | 7038506566 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dong-soo Hong Dmd Pllc 11800 Sunrise Valley Dr Reston VA 20191-5300 Ph: () - | Dong-soo Hong Dmd Pllc 11800 Sunrise Valley Dr Reston VA 20191-5300 Ph: (703) 850-6566 |
NPI Number | 1619755113 |
---|---|
Provider Enumeration Date | 09/18/2023 |
Last Update Date | 09/18/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619755113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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