Provider Demographics
NPI:1346986239
Name:HYUN-DO JOO, DDS, PLLC
Entity Type:Organization
Organization Name:HYUN-DO JOO, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HYUN-DO
Authorized Official - Middle Name:
Authorized Official - Last Name:JOO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:323-337-4301
Mailing Address - Street 1:13500 LYNDHURST ST APT 3021
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-6097
Mailing Address - Country:US
Mailing Address - Phone:132-333-7430
Mailing Address - Fax:
Practice Address - Street 1:12621 HERO WAY WEST
Practice Address - Street 2:SUITE B10
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-7871
Practice Address - Country:US
Practice Address - Phone:323-337-4301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty