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Organization
JENNIFER M. PHAM DMD PC
Active
Organization
JENNIFER M. PHAM DMD PC
Active
Other names
DOWNTOWN FAMILY DENTAL OF LEESBURG
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MINH PHAM DMD (PRESIDENT)
(703) 629-5088
Entity
Organization
Contact information
Practice address
18 WIRT ST SW, LEESBURG, VA 20175-2915
(703) 777-5600
Mailing address
42550 STIRES DR, CHANTILLY, VA 20152-6655
(703) 629-5088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
NULL
1223P0700X
Prosthodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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