Individual
MR. ANDY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6926 LITTLE RIVER TPKE STE D, ANNANDALE, VA 22003-3246
(703) 354-0181
Mailing address
8268 SHANNONS LANDING WAY, LORTON, VA 22079-1228
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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