IndividualActive
Cliff Chen
NPI 1508293937 · Periodontics · Centreville, VA
Provider details
- NPI number
- 1508293937
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0401414161 (VA)
Specialties & taxonomies
Dental Providers
Practice location
13880 Braddock Rd
Ste 109
Centreville, VA 20121-2459
Phone: (703) 830-9990
Approximate (ZIP-level) locationGet directions
Mailing address
13880 Braddock Rd
Centreville, VA 20121-2459
Registry dates
- Enumerated
- 2013-09-30
- Last updated
- 2013-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.