Organization
HO AND HO D.D.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIEN T HO D.D.S (PRESIDENT)
(703) 941-5063
Entity
Organization
Contact information
Practice address
4330 EVERGREEN LN, SUITE F-1, ANNANDALE, VA 22003-3238
(703) 941-5063
(703) 941-8955
Mailing address
4330 EVERGREEN LN, SUITE F-1, ANNANDALE, VA 22003-3238
(703) 941-5063
(703) 941-8955
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8837
VA
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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