Organization
EA DENTAL
Active
Other names
Reston Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNY CHEUNG D.D.S. (CEO)
(443) 691-2938
Entity
Organization
Contact information
Practice address
11345 SUNSET HILLS RD, RESTON, VA 20190-5205
(703) 689-0110
Mailing address
25870 RAWLEY SPRINGS DR, CHANTILLY, VA 20152-5767
(703) 598-8875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411412
VA
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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