JAEWOONG JANG

FAIRFAX, VA
NPI1285180638
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: VA  0401415368)
Additional Taxonomies122300000X Dentist
(Licence: DC  DEN10001656)
Enumeration Date2016-08-26
Last Update Date2022-07-22
Business Address
JAEWOONG JANG DMD
11050 LEE HWY
FAIRFAX, VA 22030-5014
Phone number: 703-520-6376
Mailing Address
JAEWOONG JANG DMD
11050 LEE HWY
FAIRFAX, VA 22030-5014
Phone number: 703-520-6376