Organization
SPRINGDALE KIDZ DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRICIA T TRAN DDS (PRESIDENT)
(703) 462-8855
Entity
Organization
Contact information
Practice address
5047 BACKLICK RD, SUITE A, ANNANDALE, VA 22003-6045
(703) 462-8855
Mailing address
5047 BACKLICK RD, SUITE A, ANNANDALE, VA 22003-6045
(703) 462-8855
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401410663
VA
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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