Chi Whan Chung DDS PC

NPI #1568868693 in Fairfax, Virginia

Provider Information

NPI Number: 1568868693
Entity Type: Organization
Organization Name: Chi Whan Chung DDS PC
Primary Specialty: Dentist
Enumeration Date: Nov 18, 2014
Last Updated: Nov 18, 2014

Practice Location

Address: 3611 CHAIN BRIDGE RD STE B
City: Fairfax
State: Virginia
ZIP Code: 22030-3246
Phone: (703) 273-8450

Authorized Official

Name: DR. CHI WHAN CHUNG, DDS
Title: DENTIST
Phone: (703) 273-8450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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