Individual
DR. NATHALIE PHAETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
800 W BROAD ST, SUITE 307, FALLS CHURCH, VA 22046-3142
(703) 854-1710
(703) 910-5159
Mailing address
800 W BROAD ST, SUITE 307, FALLS CHURCH, VA 22046-3142
(703) 854-1710
(703) 910-5159
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401411508
VA
1223P0221X
Pediatric Dentistry
13982
MD
Other
Enumeration date
07/21/2008
Last updated
02/08/2011
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