Organization
MAI T PHAN, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUYET-MAI THI PHAN DDS (PRESIDENT)
(703) 522-0510
Entity
Organization
Contact information
Practice address
4001 9TH ST N STE 218, ARLINGTON, VA 22203-1900
(703) 522-0510
(703) 522-0511
Mailing address
4001 9TH ST N STE 218, ARLINGTON, VA 22203-1900
(703) 522-0510
(703) 522-0511
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
VA7134
VA
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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