| Chang U. Yi Dds | |
|
4210 Fairfax Corner Ave W Suite 225 Fairfax VA 22030-8619 | |
| (703) 222-2992 | |
| (703) 222-9252 |
| Full Name | Chang U. Yi Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4210 Fairfax Corner Ave W, Fairfax, Virginia |
| Authorized Official Name and Position | Chang U Yi (DENTIST/OWNER) |
| Authorized Official Contact | 7032222992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chang U. Yi Dds 4210 Fairfax Corner Ave W Suite 225 Fairfax VA 22030-8619 Ph: (703) 222-2992 | Chang U. Yi Dds 4210 Fairfax Corner Ave W Suite 225 Fairfax VA 22030-8619 Ph: (703) 222-2992 |
| NPI Number | 1255703682 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 10/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255703682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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