Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | DEN1001330 | DC |
NPI | 1043539570 |
---|---|
Provider Name | Dr. Seungwon Yoon |
First Address | Washington, DC 20036-3713 |
Second Address | Washington, DC 20036-3713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2010 |
Last Update Date | 25/03/2014 |