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DR. CHARLIE HAE HONG DMD, MSD

Endodontics >> Dentist >> Dental Providers

Registrant NPI Number: 1811919038

Individual Registrant:
DR. CHARLIE HAE HONG DMD, MSD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3554 CHAIN BRIDGE RD SUITE 401 FAIRFAX, VA 22030-2709 US
Tel: 703-359-4447  Fax: 703-385-1472

Contact information for business:
3554 CHAIN BRIDGE RD SUITE 401 FAIRFAX, VA 22030-2709 US
Tel: 703-359-4447  Fax: 703-385-1472

Registration Information:
NPI: 1811919038
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223E0200XDental Providers
Dentist
Endodontics
VA0401410926

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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