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Organization
THREE CREEK DENTISTRY, LLC
Active
Organization
THREE CREEK DENTISTRY, LLC
Active
Other names
Three Creek Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINH CHI TRINH DDS (OWNER)
(703) 474-5695
Entity
Organization
Contact information
Practice address
7236 MUNCASTER MILL RD, DERWOOD, MD 20855-1215
(703) 474-5695
Mailing address
3409 WILSON BLVD UNIT 803, ARLINGTON, VA 22201-2246
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16219
MD
261QD0000X
Dental Clinic/Center
16285
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770995243
NPI
VA
01
—
1861805202
NPI
VA
Enumeration date
06/22/2017
Last updated
06/22/2017
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