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1619054624
THOAIVAN PHAN
WOODBRIDGE, VA
NPI
1619054624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401007092)
Enumeration Date
2006-11-01
Last Update Date
2013-08-06
Business Address
Dr. THOAIVAN PHAN D.D.S
13824 SMOKETOWN RD
WOODBRIDGE, VA 22192-4210
Phone number: 571-285-2980
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Mailing Address
Dr. THOAIVAN PHAN D.D.S
8819 BURKE RD
BURKE, VA 22015-3619
Phone number: 703-912-7279
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