Organization
VIRGINIA REGIONAL ORAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BYUNG CHANG DMD (PRESIDENT)
(240) 485-7538
Entity
Organization
Contact information
Practice address
17256 CANNONADE DR, LEESBURG, VA 20176-7192
(240) 485-7538
Mailing address
17256 CANNONADE DR, LEESBURG, VA 20176-7192
(240) 485-7538
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13440
MD
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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