Individual
CLIFF CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13880 BRADDOCK RD, STE 109, CENTREVILLE, VA 20121-2459
(703) 830-9990
Mailing address
13880 BRADDOCK RD, 109, CENTREVILLE, VA 20121-2459
(703) 830-9990
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401414161
VA
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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