Jae Kwon Bok

General Practice Dentistry · Annandale, VA

Individual Active NPI

NPI number 1487756441

Practice location

7535 Little River Tpke
# 100 E
Annandale, VA 22003-2937
Phone
(703) 336-3818

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NPI record

NPI
1487756441
Entity type
Individual (Type 1)
Enumeration date
September 1, 2006
Last updated
February 3, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 0401411726 VA
General Practice Dentistry 1223G0001X — IL

About Jae Kwon Bok

Jae Kwon Bok is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 7535 Little River Tpke, # 100 E, Annandale, VA 22003-2937. The NPI number 1487756441 was assigned on September 1, 2006 and the record was last updated on February 3, 2008.

Jae Kwon Bok lists a license in the registry: #0401411726 (VA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jae Kwon Bok?

The NPI number is 1487756441.

What is the phone number of Jae Kwon Bok?

The phone number listed for the practice location is (703) 336-3818.

Where is Jae Kwon Bok located?

7535 Little River Tpke, # 100 E, Annandale, VA 22003-2937.

What is the taxonomy code for Jae Kwon Bok?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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