Pediatric Dentistry of South Riding
NPI #1427455005 in South Riding, Virginia
Provider Information
- NPI Number
- 1427455005
- Entity Type
- Organization
- Organization Name
- Pediatric Dentistry of South Riding
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Nov 26, 2014
- Last Updated
- Nov 26, 2014
Practice Location
- Address
- 25055 RIDING PLZ
- Address 2
- SUITE 240
- City
- South Riding
- State
- Virginia
- ZIP Code
- 20152-5917
- Phone
- (703) 542-3545
Authorized Official
- Name
- DR. THERESE CHU, DDS
- Title
- OWNER/ DENTIST
- Phone
- (703) 542-3545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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