Provider Demographics
NPI:1427787662
Name:DR. SURBHI V. CHANDNA PLLC
Entity type:Organization
Organization Name:DR. SURBHI V. CHANDNA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SURBHI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDNA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:310-755-4437
Mailing Address - Street 1:8909 ROYAL ASTOR WAY
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-1452
Mailing Address - Country:US
Mailing Address - Phone:310-755-4437
Mailing Address - Fax:
Practice Address - Street 1:3801 FAIRFAX DR STE 25
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1762
Practice Address - Country:US
Practice Address - Phone:310-755-4437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-05
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental