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Organization

VILLAGE ORAL AND IMPLANT SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN CHANG DMD (PRESIDENT)
(855) 373-7688
Entity
Organization

Contact information

Practice address
1503 DODONA TERRACE SW, 105, LEESBURG, VA 20175
(855) 373-7688
Mailing address
1503 DODONA TERRACE SW, 105, LEESBURG, VA 20175
(855) 373-7688

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401413499
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401413779
VA

Other

Enumeration date
06/07/2013
Last updated
06/07/2013
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