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Organization
CHI WHAN CHUNG DDS PC
Active
Organization
CHI WHAN CHUNG DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHI WHAN CHUNG DDS (DENTIST)
(703) 273-8450
Entity
Organization
Contact information
Practice address
3611 CHAIN BRIDGE RD STE B, FAIRFAX, VA 22030-3246
(703) 273-8450
(703) 649-6357
Mailing address
3611 CHAIN BRIDGE RD STE B, FAIRFAX, VA 22030-3246
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412213
VA
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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