NPI 1003053984

Eul-Mo Kang, DDS

Practitioner General Practice Dentistry Annandale, VA

Practice location

Address: 4540a John Marr Dr, Annandale, VA 22003
Phone: (703) 333-3016
Fax: (703) 333-3018

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 0401006989 (VA)

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Registry record

NPI: 1003053984
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jan 2009
Record last updated: 14 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.