Individual
DR. BRIAN BYUNG CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1503 DODONA TER STE 105, LEESBURG, VA 20175-4723
(855) 373-7688
(202) 397-2104
Mailing address
1503 DODONA TER, 105, LEESBURG, VA 20175-4717
(855) 373-7688
(703) 771-9877
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000313
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
13440
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6025
LA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN1001258
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457337982
—
MD
Enumeration date
12/16/2005
Last updated
05/22/2014
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