TRUC T PHAN

CHANTILLY, VA
NPI1194916254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401411128)
Enumeration Date2007-08-05
Last Update Date2007-08-05
Business Address
Dr. TRUC T PHAN D.D.S
4229 LAFAYETTE CENTER DR #1225
CHANTILLY, VA 20151-1261
Phone number: 571-214-6485
Mailing Address
Dr. TRUC T PHAN D.D.S
42648 BRADFORDS TELEGRAPH CT
CHANTILLY, VA 20152-6323
Phone number: