# MYONG J CHA DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609836022
- **Authorized official:** DR. MYONG J CHA DDS (GENERAL DENTIST PRESIDENT)
- **Authorized official phone:** (703) 273-5033

## Contact information

- **Practice address:** 3915 OLD LEE HWY, 22D, FAIRFAX, VA 22030
- **Practice address phone:** (703) 273-5033
- **Practice address fax:** (703) 358-5528
- **Mailing address:** 3611 CHAIN BRIDGE RD, STE B, FAIRFAX, VA 22030-3246
- **Mailing address phone:** (703) 273-5033
- **Mailing address fax:** (703) 358-5528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 401006594 | VA | Yes |

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 06/30/2016