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1194916254
TRUC T PHAN
CHANTILLY, VA
NPI
1194916254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401411128)
Enumeration Date
2007-08-05
Last Update Date
2007-08-05
Business Address
Dr. TRUC T PHAN D.D.S
4229 LAFAYETTE CENTER DR #1225
CHANTILLY, VA 20151-1261
Phone number: 571-214-6485
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Mailing Address
Dr. TRUC T PHAN D.D.S
42648 BRADFORDS TELEGRAPH CT
CHANTILLY, VA 20152-6323
Phone number:
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