FAIR LAKES FAMILY AND COSMETIC DENTISTRY

FAIRFAX, VA
NPI1427322734
Entity TypeOrganization
Authorized ContactANNAH P TRAN
Dentist, President
703-273-4505
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401410709)
Enumeration Date2012-03-05
Last Update Date2012-03-05
Business Address
FAIR LAKES FAMILY AND COSMETIC DENTISTRY
12110 MONUMENT DR STE A
FAIRFAX, VA 22033-5553
Phone number: 703-273-4505
Mailing Address
FAIR LAKES FAMILY AND COSMETIC DENTISTRY
12110 MONUMENT DR STE A
FAIRFAX, VA 22033-5553
Phone number: 703-273-4505