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1265273270
SOMANG LEE-THACKER
STAFFORD, VA
NPI
1265273270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401418880)
Enumeration Date
2024-06-04
Last Update Date
2024-06-04
Business Address
SOMANG LEE-THACKER DMD MS
556 GARRISONVILLE RD STE 208
STAFFORD, VA 22554-7819
Phone number: 540-699-2414
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Mailing Address
SOMANG LEE-THACKER DMD MS
9009 CHURCH ST APT 507
MANASSAS, VA 20110-5481
Phone number: 502-802-1147
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