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Individual

JAYA CHHABRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4576 FAIRWAY VILLAGE PL STE 101, WALDORF, MD 20602-5108
(227) 220-4015
Mailing address
5114 HUNTERS CREEK PL, SUFFOLK, VA 23435-2685
(757) 693-0842

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401418645
VA
1223G0001X
General Practice Dentistry
Primary
18805
MD

Other

Enumeration date
04/06/2022
Last updated
04/01/2026
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