Individual
ALICE CHIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2 CARDINAL PARK DR, SUITE 206A, LEESBURG, VA 20175-4401
(703) 771-3389
(703) 771-8242
Mailing address
13628 LAVENDER MIST LN, CENTREVILLE, VA 20120-2610
(609) 457-2679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414491
VA
Other
Enumeration date
04/22/2015
Last updated
01/26/2016
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