Provider Demographics
NPI:1962919241
Name:NOH, YUN SUK (DMD)
Entity type:Individual
Prefix:
First Name:YUN SUK
Middle Name:
Last Name:NOH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:BRYAN
Other - Middle Name:
Other - Last Name:NOH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3101 N HAMPTON DR APT 1111
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-1529
Mailing Address - Country:US
Mailing Address - Phone:703-615-5431
Mailing Address - Fax:
Practice Address - Street 1:5275 LEESBURG PIKE
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-3803
Practice Address - Country:US
Practice Address - Phone:703-615-5431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-08
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1857110122300000X
VA0401417337122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentist