| Virginia Regional Oral Surgery Associates | |
|
17256 Cannonade Dr Leesburg VA 20176-7192 | |
| (240) 485-7538 | |
| Not Available |
| Full Name | Virginia Regional Oral Surgery Associates |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 17256 Cannonade Dr, Leesburg, Virginia |
| Authorized Official Name and Position | Brian Byung Chang (PRESIDENT) |
| Authorized Official Contact | 2404857538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Regional Oral Surgery Associates 17256 Cannonade Dr Leesburg VA 20176-7192 Ph: (240) 485-7538 | Virginia Regional Oral Surgery Associates 17256 Cannonade Dr Leesburg VA 20176-7192 Ph: (240) 485-7538 |
| NPI Number | 1699166413 |
|---|---|
| Provider Enumeration Date | 02/16/2015 |
| Last Update Date | 02/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699166413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13440 (Maryland) | Primary |
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