PETER TIEN DZUNG PHAM

MANASSAS, VA
NPI1003155946
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: VA  0618002204)
Enumeration Date2013-02-13
Last Update Date2016-04-19
Business Address
Dr. PETER TIEN DZUNG PHAM O.D.
8300 SUDLEY RD STE I-6
MANASSAS, VA 20109-3458
Phone number: 850-384-1554
Mailing Address
Dr. PETER TIEN DZUNG PHAM O.D.
11936 JADE LAKE LN
BRISTOW, VA 20136-2231
Phone number: 850-384-1554
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