Individual
THANH-LOAN DORSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1325 CONNECTICUT AVE NW, WASHINGTON, DC 20036-1801
(202) 785-5700
(202) 223-6315
Mailing address
1950 OLD GALLOWS RD, STE 100, VIENNA, VA 22182-3990
(703) 847-8899
(703) 847-5177
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
502MM869
MD
152W00000X
Optometrist
Primary
OP1000098
DC
152W00000X
Optometrist
TA9147
MD
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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