| Long D Pham Dds Pllc | |
|
462 Herndon Pkwy Herndon VA 20170-5233 | |
| (703) 707-8500 | |
| (571) 210-4410 |
| Full Name | Long D Pham Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 462 Herndon Pkwy, Herndon, Virginia |
| Authorized Official Name and Position | Nohemi Nolasco (RECEPTIONIST) |
| Authorized Official Contact | 7032377820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long D Pham Dds Pllc 462 Herndon Pkwy Herndon VA 20170-5233 Ph: (703) 707-8500 | Long D Pham Dds Pllc 462 Herndon Pkwy Herndon VA 20170-5233 Ph: (703) 707-8500 |
| NPI Number | 1093187510 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 10/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093187510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401412166 (Virginia) | Primary |
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