Individual
DR. MADISON CHANMI CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8056 ROLLING RD, SPRINGFIELD, VA 22153-2928
(571) 295-5683
Mailing address
13312 RISING SUN LN, GERMANTOWN, MD 20874-2174
(301) 602-0008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417499
VA
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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