Organization
MYONG J CHA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYONG J CHA DDS (GENERAL DENTIST PRESIDENT)
(703) 273-5033
Entity
Organization
Contact information
Practice address
3915 OLD LEE HWY, 22D, FAIRFAX, VA 22030
(703) 273-5033
(703) 358-5528
Mailing address
3611 CHAIN BRIDGE RD, STE B, FAIRFAX, VA 22030-3246
(703) 273-5033
(703) 358-5528
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
401006594
VA
Other
Enumeration date
03/28/2006
Last updated
06/30/2016
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