Michael W. Chang, Dds, Pllc

NPI #1609105600 in Fairfax, Virginia

Provider Information

NPI Number: 1609105600
Entity Type: Organization
Organization Name: Michael W. Chang, Dds, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 22, 2009
Last Updated: Dec 22, 2009

Practice Location

Address: 3903 FAIR RIDGE DR
Address 2: SUITE 207
City: Fairfax
State: Virginia
ZIP Code: 22033-2906
Phone: (703) 385-2772

Authorized Official

Name: MS. JASMINE M CHOI
Title: EXECUTIVE DIRECTOR
Phone: (703) 255-4848

Specialties & Taxonomy Codes

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

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