Family Dentistry
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Family Dentistry

Chi Whan Chung DDS, Nathan C Lee DDS

Forms

Forms

Please Click on the following Link to download the forms.  For new patients, filling out these forms before presenting to the office will save 10-15 minutes of your time.

Patient Registration Form (Fillable PDF Format)

Medical History Form (Fillable PDF Format)

Phone & Address

Phone: (703)273-8450

Text Message: (571)308-3014
Fax: (703)649-6357

3611 Chain Bridge Rd STE B
Fairfax VA 22030

Hours

Monday: 8 am to 6 pm
Tuesday: 9 am to 5 pm
Wednesday: 9 am to 6 pm
Thursday: 9 am to 5 pm
Friday: 8 am to 4 pm
Saturday: By Appt only

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