Organization
CHI WHAN CHUNG DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHI WHAN CHUNG DDS (DENTIST)
(703) 273-8450
Entity
Organization
Contact information
Practice address
3611 CHAIN BRIDGE RD STE B, FAIRFAX, VA 22030-3246
(703) 273-8450
(703) 649-6357
Mailing address
3611 CHAIN BRIDGE RD STE B, FAIRFAX, VA 22030-3246
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412213
VA
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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