# DENTIST OF AMERICA, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063076602
- **Authorized official:** THIEN VAN DAO LE DDS (PRESIDENT)
- **Authorized official phone:** (703) 347-3522

## Contact information

- **Practice address:** 4800 CHEROKEE AVE, ALEXANDRIA, VA 22312-1803
- **Practice address phone:** (703) 936-6522
- **Practice address fax:** (703) 942-6683
- **Mailing address:** 5217 CATHER RD, SPRINGFIELD, VA 22151-3719
- **Mailing address phone:** (703) 347-3522
- **Mailing address fax:** (703) 942-6683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2019
- **Last updated:** 06/04/2021