Nathan Chong

NPI #1194882001 in Fairfax, Virginia

Provider Information

NPI Number: 1194882001
Entity Type: Individual
Name: Nathan Chong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 2, 2007
Last Updated: Mar 4, 2013

Practice Location

Address: 9428 MAIN ST
City: Fairfax
State: Virginia
ZIP Code: 22031-4032
Phone: (703) 323-5296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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