Individual
DR. SOPHIA C PHASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5205 LEESBURY PIKE, SUITE 101 JACK C PHASS JR DDS INC, FALLS CHURCH, VA 22041-3802
(703) 824-0055
(703) 998-9859
Mailing address
5205 LEESBURY PIKE, SUITE 101 JACK C PHASS JR DDS INC, FALLS CHURCH, VA 22041-3802
(703) 824-0055
(703) 998-9859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007124
VA
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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