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NPI Code Detail

MEDICARE: JI WOO

MEDICARE: JI WOO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
21223G0001XGeneral Practice DentistryDEN2001679DC

General Provider Information

NPI Number : 1538006150
Entity Type Code : Individual
Provider Name (Legal Business Name) : JI WOO
Provider Business Mailing Address
First Line : 3074 FORUM PL
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-2590
Country : US
Telephone Number : 443-980-0916
Fax Number :
Provider Business Practice Location Address
First Line : 6428 GEORGIA AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20012-2910
Country : US
Telephone Number : 202-723-0303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2026
Last Update Date : 05/28/2026

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Directions to “ JI WOO ” Practice Location

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