Individual
MS. THI PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
915 N ST SE BLDG 175, WASHINGTON, DC 20374-5162
(202) 433-6262
Mailing address
5800 QUANTRELL AVE APT 921, ALEXANDRIA, VA 22312-2712
(301) 920-4478
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402207117
VA
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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