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General NPI Number Information
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NPI Number | 1811779838
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Entity Type | Organization
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Legal Business Name | WOO YOUNG CHANG DMD PLLC
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 919 18TH ST NW STE 350
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City | WASHINGTON
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State | DC
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Zip | 20006-5517
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Country | US
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Telephone | 202-659-2716
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Fax |
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Provider Business Mailing Address
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Address Line | 919 18TH ST NW STE 350
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City | WASHINGTON
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State | DC
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Zip | 20006-5517
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Country | US
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Telephone | 202-659-2716
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Fax |
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Authorized Official
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Title or Position | CO-OWNER DENTIST
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Name | DR. WON YOUNG KYE
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Credential | DMD
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Telephone | 617-913-0919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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