Organization
BLOSSOM ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAM C BUI DMD (OWNER DENTIST)
(703) 929-7838
Entity
Organization
Contact information
Practice address
24585 STONE CARVER DR STE 250, ALDIE, VA 20105-3256
(703) 423-0288
Mailing address
24585 STONE CARVER DR STE 250, ALDIE, VA 20105-3256
(703) 423-0288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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