Individual
DR. JONATHAN YOUNGKWON CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2301 GALLOWS RD, SUITE 215, DUNN LORING, VA 22027-1149
(703) 560-6500
(703) 560-6502
Mailing address
2301 GALLOWS RD, SUITE 215, DUNN LORING, VA 22027-1149
(703) 560-6500
(703) 560-6502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410641
VA
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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