Individual
DR. DUY-MAN LE PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
9526 A LEE HWY., FAIRFAX, VA 22031
(703) 934-9444
(703) 934-9442
Mailing address
9526 A LEE HWY, FAIRFAX, VA 22031
(703) 934-9444
(703) 934-9442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410735
VA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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