Search › Virginia › 122300000X
Jaewoong Jang, DMD
NPI 1285180638 · on the registry since 2016
Practice
- Address
- 11050 Lee Hwy
Fairfax, VA 22030 - Phone
- (703) 520-6376
- Organisation at this address
- Fairfax Modern Dentistry, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- DC, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia