Individual
DR. PHUONG XUAN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1225 MARTHA CUSTIS DR, C6, ALEXANDRIA, VA 22302
(703) 931-6344
(703) 931-1896
Mailing address
1225 MARTHA CUSTIS DR, C6, ALEXANDRIA, VA 22302
(703) 931-6344
(703) 931-1896
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410780
VA
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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