Nathan Chong
Nathan Chong is a General Practice Dentistry in Fairfax, Virginia. Practices as a sole proprietor. Licensed in California and Virginia.
- Licensed in
- CA, VA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
9428 Main StFairfax, VA 22031-4032
Phone: (703) 323-5296
Fax: (703) 503-3024
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 0401410829 (VA) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 56152 (CA) |
Record details
| NPI number | 1194882001 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 2, 2007 |
| Last updated in NPPES | March 4, 2013 |
| Mailing address | 9428 Main St, Fairfax, VA 22031-4032 |
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