Individual
DR. ANDREW QUANG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3930 WALNUT ST STE 210, FAIRFAX, VA 22030-4738
(703) 935-8699
Mailing address
10779 CREST ST, FAIRFAX, VA 22030-5171
(571) 224-8791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415281
VA
1223G0001X
General Practice Dentistry
31912
TX
Other
Enumeration date
08/11/2016
Last updated
03/26/2021
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