Individual
DR. STEPHANIE LANG-YEN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8170 SILVERBROOK RD STE D, LORTON, VA 22079-2956
(703) 495-9992
Mailing address
12258 WATER ELM LN, FAIRFAX, VA 22030-9070
(703) 677-5958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418500
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2023
Last updated
06/28/2023
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