Organization
DENTIST OF AMERICA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THIEN VAN DAO LE DDS (PRESIDENT)
(703) 347-3522
Entity
Organization
Contact information
Practice address
4800 CHEROKEE AVE, ALEXANDRIA, VA 22312-1803
(703) 936-6522
(703) 942-6683
Mailing address
5217 CATHER RD, SPRINGFIELD, VA 22151-3719
(703) 347-3522
(703) 942-6683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
06/04/2021
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