Jae M Chong Dmd PC
NPI #1831928654 in Centreville, Virginia
Provider Information
- NPI Number
- 1831928654
- Entity Type
- Organization
- Organization Name
- Jae M Chong Dmd PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 30, 2024
- Last Updated
- Aug 13, 2024
Practice Location
- Address
- 14215F CENTREVILLE SQ
- City
- Centreville
- State
- Virginia
- ZIP Code
- 20121-2301
- Phone
- (703) 825-1191
Authorized Official
- Name
- JAE CHONG, DMD
- Title
- PRESIDENT
- Phone
- (703) 825-1191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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