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Organization
VIRGINIA REGIONAL ORAL SURGERY ASSOCIATES
Active
Organization
VIRGINIA REGIONAL ORAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BYUNG CHANG DMD (PRESIDENT)
(240) 485-7538
Entity
Organization
Contact information
Practice address
17256 CANNONADE DR, LEESBURG, VA 20176-7192
(240) 485-7538
Mailing address
17256 CANNONADE DR, LEESBURG, VA 20176-7192
(240) 485-7538
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13440
MD
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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