# TINGTING ZHU DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fairfax Dental, Medical & Acupuncture
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356099105
- **Authorized official:** DR. TINGTING ZHU FREED DMD (DENTIST/OWNER)
- **Authorized official phone:** (703) 893-6680

## Contact information

- **Practice address:** 3613 CHAIN BRIDGE RD STE A, FAIRFAX, VA 22030-3238
- **Practice address phone:** (703) 893-6680
- **Mailing address:** 3613 CHAIN BRIDGE RD STE A, FAIRFAX, VA 22030-3238
- **Mailing address phone:** (703) 893-6680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2022
- **Last updated:** 03/11/2022