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313 Park Ave Ste 302 Falls Church VA 22046-3303 | |
| (718) 427-3972 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 313 Park Ave Ste 302, Falls Church, Virginia |
| Authorized Official Name and Position | James Michael Chung (PRESIDENT) |
| Authorized Official Contact | 7184273972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
313 Park Ave Ste 302 Falls Church VA 22046-3303 Ph: (718) 427-3972 | 313 Park Ave Ste 302 Falls Church VA 22046-3303 Ph: (718) 427-3972 |
| NPI Number | 1598579435 |
|---|---|
| Provider Enumeration Date | 02/03/2025 |
| Last Update Date | 02/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598579435 | NPI | - | NPPES |
| 0401414355 | Other | VA | VIRGINIA DEPT OF HEALTH PROFESSIONALS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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