| Shue Jen Chuang D.d.s. & David W. Lucht D.d.s. Plc | |
|
13880 Braddock Rd Ste 311 Centreville VA 20121-2462 | |
| (703) 803-9223 | |
| (703) 803-9570 |
| Full Name | Shue Jen Chuang D.d.s. & David W. Lucht D.d.s. Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13880 Braddock Rd Ste 311, Centreville, Virginia |
| Authorized Official Name and Position | Shue Jen Chuang (DR.) |
| Authorized Official Contact | 7038039223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shue Jen Chuang D.d.s. & David W. Lucht D.d.s. Plc 13880 Braddock Rd Ste 311 Centreville VA 20121-2462 Ph: (703) 803-9223 | Shue Jen Chuang D.d.s. & David W. Lucht D.d.s. Plc 13880 Braddock Rd Ste 311 Centreville VA 20121-2462 Ph: (703) 803-9223 |
| NPI Number | 1174715262 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 09/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174715262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401007427 (Virginia) | Primary |
| 1223G0001X | Dentist - General Practice | 0401007403 (Virginia) | Secondary |
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