Individual
THIEN DAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5960 KINGSTOWNE TOWNE CTR, SUITE 140, ALEXANDRIA, VA 22315-5896
(703) 719-9210
(703) 719-6330
Mailing address
5960 KINGSTOWNE TOWNE CTR, SUITE 140, ALEXANDRIA, VA 22315-5896
(703) 719-9210
(703) 719-6330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412862
VA
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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