Individual
JASON TRINH LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3909 BRYCE RD, ALEXANDRIA, VA 22312-1022
(703) 354-0581
Mailing address
3909 BRYCE RD, ALEXANDRIA, VA 22312-1022
(703) 354-0581
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414468
VA
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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