Search › Virginia › 1223G0001X
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