PREMIUM FAMILY DENTAL PC

ALEXANDRIA, VA
NPI1063718104
Entity TypeOrganization
Authorized ContactVU NGUYEN
President
703-606-8458
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: VA  0401410920)
Enumeration Date2011-02-08
Last Update Date2011-02-08
Business Address
PREMIUM FAMILY DENTAL PC
6328 RICHMOND HWY STE F
ALEXANDRIA, VA 22306-6408
Phone number: 703-606-8458
Mailing Address
PREMIUM FAMILY DENTAL PC
3618 HIGHLAND PL
FAIRFAX, VA 22033-2718
Phone number: