| Su-en C Thlick, Dmd | |
|
12701 Marblestone Dr Suite #260 Woodbridge VA 22192-8307 | |
| (703) 670-2114 | |
| Not Available |
| Full Name | Su-en C Thlick, Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12701 Marblestone Dr, Woodbridge, Virginia |
| Authorized Official Name and Position | Su-en C Thlick (DENTIST/ OWNER) |
| Authorized Official Contact | 7036702114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Su-en C Thlick, Dmd 12701 Marblestone Dr Suite #260 Woodbridge VA 22192-8307 Ph: (703) 670-2114 | Su-en C Thlick, Dmd 12701 Marblestone Dr Suite #260 Woodbridge VA 22192-8307 Ph: (703) 670-2114 |
| NPI Number | 1023207792 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023207792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Virginia) | Primary |
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