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1063718104
PREMIUM FAMILY DENTAL PC
ALEXANDRIA, VA
NPI
1063718104
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Entity Type
Organization
Authorized Contact
VU NGUYEN
President
703-606-8458
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401410920)
Enumeration Date
2011-02-08
Last Update Date
2011-02-08
Business Address
PREMIUM FAMILY DENTAL PC
6328 RICHMOND HWY STE F
ALEXANDRIA, VA 22306-6408
Phone number: 703-606-8458
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Mailing Address
PREMIUM FAMILY DENTAL PC
3618 HIGHLAND PL
FAIRFAX, VA 22033-2718
Phone number:
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