Organization
SU-EN C THLICK, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SU-EN C THLICK DMD (DENTIST/ OWNER)
(703) 670-2114
Entity
Organization
Contact information
Practice address
12701 MARBLESTONE DR, SUITE #260, WOODBRIDGE, VA 22192-8307
(703) 670-2114
Mailing address
12701 MARBLESTONE DR, SUITE #260, WOODBRIDGE, VA 22192-8307
(703) 670-2114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
VA
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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