Individual
MAN SHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8296 OLD COURTHOUSE RD STE A, VIENNA, VA 22182-3852
(954) 818-9807
Mailing address
2151 TANNIN PL, #227, VIENNA, VA 22182-4615
(954) 818-9807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412006
VA
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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