Organization
ANH T. PHAM, DDS, GENERAL DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANH TU PHAM (OWNER/PRESIDENT)
(703) 378-2466
Entity
Organization
Contact information
Practice address
7544 GARDNER PARK DR., GAINESVILLE, VA 20155
(703) 625-2295
Mailing address
7544 GARDNER PARK DR., GAINESVILLE, VA 20155
(703) 625-2295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410353
VA
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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