Individual
TUAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
307 MAPLE AVE W STE M, VIENNA, VA 22180-4307
(703) 281-1090
Mailing address
307 MAPLE AVE W STE M, VIENNA, VA 22180-4307
(703) 281-1090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410688
VA
Other
Enumeration date
04/20/2007
Last updated
09/22/2024
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