# FAMILY AND COSMETIC DENTISTRY

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

## Provider details

- **NPI number:** 1184866857
- **Authorized official:** DR. QUANG NGOC HUY TRAN DDS (DOCTOR)
- **Authorized official phone:** (703) 698-5155

## Contact information

- **Practice address:** 8626 LEE HWY, \#203, FAIRFAX, VA 22031-2135
- **Practice address phone:** (703) 698-5155
- **Practice address fax:** (703) 698-5888
- **Mailing address:** 8626 LEE HWY, \#203, FAIRFAX, VA 22031-2135
- **Mailing address phone:** (703) 698-5155
- **Mailing address fax:** (703) 698-5888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401411451 | VA | Yes |

## Other

- **Enumeration date:** 03/27/2009
- **Last updated:** 03/27/2009
