Organization
PEDIATRIC DENTISTRY OF SOUTH RIDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESE CHU DDS (OWNER/ DENTIST)
(703) 542-3545
Entity
Organization
Contact information
Practice address
25055 RIDING PLZ, SUITE 240, SOUTH RIDING, VA 20152-5917
(703) 542-3545
(703) 542-2065
Mailing address
25055 RIDING PLZ, SUITE 240, SOUTH RIDING, VA 20152-5917
(703) 542-3545
(703) 542-2065
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
VA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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