Provider Demographics
NPI:1497417182
Name:YOON AND YOON DENTISTRY PLLC
Entity Type:Organization
Organization Name:YOON AND YOON DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SOO KYO
Authorized Official - Middle Name:
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-447-6757
Mailing Address - Street 1:8878 TENBURY CT
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136-2015
Mailing Address - Country:US
Mailing Address - Phone:703-447-6757
Mailing Address - Fax:
Practice Address - Street 1:10322 BRISTOW STATION DR STE 111
Practice Address - Street 2:
Practice Address - City:BRISTOW
Practice Address - State:VA
Practice Address - Zip Code:20136-1410
Practice Address - Country:US
Practice Address - Phone:703-447-6757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-10
Last Update Date:2021-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty