Provider Demographics
NPI:1952497067
Name:YOO, CHRISTOPHER KEUNYOUNG (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:KEUNYOUNG
Last Name:YOO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8850 COLUMBIA 100 PKWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2374
Mailing Address - Country:US
Mailing Address - Phone:410-997-5699
Mailing Address - Fax:410-997-5633
Practice Address - Street 1:8850 COLUMBIA 100 PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2374
Practice Address - Country:US
Practice Address - Phone:410-997-5699
Practice Address - Fax:410-997-5633
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD135551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice