Organization
CPT & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CUONG PHU TRAN DDS (PRESIDENT)
(703) 559-5786
Entity
Organization
Contact information
Practice address
6422 GROVEDALE DR STE 101A, FRANCONIA, VA 22310-2534
(703) 559-5786
Mailing address
4612 ASPEN HILLL CT, ANNANDALE, VA 22003
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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