# J CHONG DMD & ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Herndon Dental Design
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598594319
- **Authorized official:** JAE CHONG DMD (PRESIDENT)
- **Authorized official phone:** (703) 989-6283

## Contact information

- **Practice address:** 131 ELDEN ST STE 140, HERNDON, VA 20170-4835
- **Practice address phone:** (703) 989-6283
- **Mailing address:** 2724 BERRYLAND DR, OAKTON, VA 22124-1403
- **Mailing address phone:** (703) 989-6283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2024
- **Last updated:** 07/30/2024