Mai T Phan, Dds | |
4001 9th St N Ste 218 Arlington VA 22203-1900 | |
(703) 522-0510 | |
(703) 522-0511 |
Full Name | Mai T Phan, Dds |
---|---|
Speciality | Clinic/center - Dental |
Location | 4001 9th St N Ste 218, Arlington, Virginia |
Authorized Official Name and Position | Tuyet-mai Thi Phan (PRESIDENT) |
Authorized Official Contact | 7035220510 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mai T Phan, Dds 4001 9th St N Ste 218 Arlington VA 22203-1900 Ph: (703) 522-0510 | Mai T Phan, Dds 4001 9th St N Ste 218 Arlington VA 22203-1900 Ph: (703) 522-0510 |
NPI Number | 1912415647 |
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Provider Enumeration Date | 01/16/2018 |
Last Update Date | 01/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912415647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | VA7134 (Virginia) | Primary |
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