Individual
DR. LYNN KIANGSOONTRA ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.1
Contact information
Practice address
4322 RAVENSWORTH RD, ANNANDALE, VA 22003-5630
(703) 256-5870
Mailing address
707 PARNASSUS AVE, DENTAL CLINICS BUILDING, D4000, SAN FRANCISCO, CA 94143-2210
(415) 476-3028
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0401414919
VA
1223P0700X
Prosthodontics
R521
MN
1223P0700X
Prosthodontics
SP266
CA
Other
Enumeration date
09/07/2011
Last updated
03/10/2019
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