Organization
JAMES M CHUNG DDS PC
Active
Other names
Westphalia Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL CHUNG DDS (PRESIDENT)
(703) 237-0662
Entity
Organization
Contact information
Practice address
313 PARK AVE STE 302, FALLS CHURCH, VA 22046-3303
(718) 427-3972
Mailing address
313 PARK AVE STE 302, FALLS CHURCH, VA 22046-3303
(718) 427-3972
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401414355
VIRGINIA DEPT OF HEALTH PROFESSIONALS
VA
Enumeration date
02/03/2025
Last updated
02/10/2025
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