Organization
JAE M CHONG DMD PC
Active
Other names
Centreville Dental Design
Organization subpart
No
Provider details
NPI number
Authorized official
JAE CHONG DMD (PRESIDENT)
(703) 825-1191
Entity
Organization
Contact information
Practice address
14215F CENTREVILLE SQ, CENTREVILLE, VA 20121-2301
(703) 825-1191
Mailing address
14215F CENTREVILLE SQ, CENTREVILLE, VA 20121-2301
(703) 825-1191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
08/13/2024
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