SearchVirginia1223G0001X

Jae-Woo Jung, DDS

NPI 1871089987 · on the registry since 2018 · sole proprietor

Practice

Address
11864 Sunrise Valley Dr Ste 100
Reston, VA 20191
Phone
(703) 964-1777
Fax
(703) 964-1776
Organisation at this address
Pure Dental Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-30

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