Joo, Ilcheon

Joo, Ilcheon is an sole proprietor health care provider with primary practice located at 46 Mifflin St , Pine Grove PA 17963-1318. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Joo, Ilcheon can be contacted via phone (570) 345-3495.

Contact Information

Primary practice address
46 Mifflin St Pine Grove PA 17963-1318
Phone: (570) 345-3495
Fax: (570) 345-3161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS037775 Pennsylvania

Profile Details

NPI number 1063530509
LBN Legal business name Joo, Ilcheon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Dec 8th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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