Individual
DR. HIEP D PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13870 REMBRANDT WAY, CHANTILLY, VA 20151-3256
(703) 362-3742
Mailing address
13870 REMBRANDT WAY, CHANTILLY, VA 20151-3256
(703) 362-3742
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412694
VA
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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